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Kansas rates for HCPCS 21480

Closed Tx Temporomandibular Dislocation 1st/Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.20 / $3,232.00 / $10,439.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$855.91 / $1,312.00 / $1,312.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $330.00 / $330.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.90 / $129.38 / $611.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.81 / $500.00 / $1,907.00