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North Dakota rates for HCPCS 21480

Closed treatment of temporomandibular dislocation; initial or subsequent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.16 / $118.49 / $2,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.16 / $118.49 / $239.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,978.00 / $1,978.00 / $1,978.00