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Kentucky rates for HCPCS 21480

Closed Tx Temporomandibular Dislocation 1st/Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.47 / $152.59 / $2,747.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$665.29 / $665.29 / $665.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.00 / $2,067.00 / $2,978.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.11 / $41.34 / $47.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.67 / $54.34 / $54.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $668.00 / $3,176.00