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Nebraska rates for HCPCS 21480

Closed treatment of temporomandibular dislocation; initial or subsequent

Facilitymedian $2,188 · 10th–90th $60–$8,5110%10%10th90th$2,188Professionalmedian $245 · 10th–90th $59–$3310%10%10th90th$245$50.0$200.0$1.0K$5.0K$20.0K

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
$346.74 / $3,801.89 / $12,589.25
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $691.83 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $165.96 / $354.81
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $245.47 / $331.13
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $1,047.13 / $3,801.89