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Michigan rates for HCPCS 21480

Closed treatment of temporomandibular dislocation; initial or subsequent

Facilitymedian $955 · 10th–90th $42$4,8980%10%20%10th90th$955$50.0$100.0$200.0$500.0$1.0K$2.0K$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
$41.69 / $1,202.26 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $281.84 / $4,897.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $724.44 / $1,698.24