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Mississippi rates for HCPCS 21480

Closed treatment of temporomandibular dislocation; initial or subsequent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $933.25 / $1,995.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $134.90 / $223.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $537.03 / $1,621.81