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Massachusetts rates for HCPCS 21480

Closed treatment of temporomandibular dislocation; initial or subsequent

Facilitymedian $1,479 · 10th–90th $35$3,7150%10%10th90th$1,479$50.0$200.0$1.0K$5.0K$20.0K

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
$95.50 / $2,187.76 / $3,801.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $1,000.00 / $19,498.45
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $83.18
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $44.67 / $3,311.31
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $2,041.74 / $3,467.37
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $331.13 / $575.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $1,000.00 / $19,498.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $1,698.24 / $2,818.38