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Idaho rates for HCPCS 21480

Closed treatment of temporomandibular dislocation; initial or subsequent

Facilitymedian $331 · 10th–90th $52–$5,4950%5%10th90th$331$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $1,412.54 / $5,495.41
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $269.15 / $616.60
BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$117.49 / $346.74 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $154.88
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $120.23 / $316.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $524.81 / $741.31
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$602.56 / $851.14 / $1,122.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $1,819.70 / $9,332.54