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Indiana rates for HCPCS 21480

Closed treatment of temporomandibular dislocation; initial or subsequent

Facilitymedian $3,467 · 10th–90th $85–$7,4130%5%10th90th$3,467$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
$38.90 / $562.34 / $4,897.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $4,265.80 / $8,317.64
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $30.90 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $52.48 / $199.53
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $2,137.96 / $7,413.10