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New Jersey rates for HCPCS 21480

Closed treatment of temporomandibular dislocation; initial or subsequent

Facilitymedian $4,467 · 10th–90th $138–$10,4710%10%10th90th$4,467$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
$138.04 / $4,570.88 / $10,471.29
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,047.13 / $2,754.23 / $2,754.23
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,454.71 / $3,801.89
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $776.25 / $1,230.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,630.27 / $6,606.93