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Minnesota rates for HCPCS 21480

Closed treatment of temporomandibular dislocation; initial or subsequent

Facilitymedian $525 · 10th–90th $83–$1,3800%5%10th90th$525$20.0$100.0$500.0$2.0K

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
$28.84 / $147.91 / $524.81
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $467.74 / $1,096.48
BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$549.54 / $891.25 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $537.03 / $1,288.25
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $501.19 / $977.24
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $138.04 / $562.34
Medica
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $1,230.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $1,778.28 / $3,715.35