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Nebraska rates for HCPCS 21480

Closed treatment of temporomandibular dislocation; initial or subsequent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.60 / $3,908.01 / $13,841.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.12 / $694.62 / $1,343.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.40 / $193.40 / $193.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.79 / $131.60 / $250.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.69 / $230.01 / $384.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,056.00 / $1,527.00 / $4,317.00