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Maryland rates for HCPCS 21480

Closed Tx Temporomandibular Dislocation 1st/Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.64 / $67.64 / $67.64
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,373.22 / $1,373.22 / $1,373.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.72 / $330.00 / $339.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.97 / $187.80 / $244.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.58 / $37.00 / $114.89