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Missouri rates for HCPCS 21480

Closed treatment of temporomandibular dislocation; initial or subsequent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.25 / $1,760.00 / $7,365.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.63 / $125.37 / $757.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.00 / $718.00 / $1,667.00