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New Jersey rates for HCPCS 21480

Closed treatment of temporomandibular dislocation; initial or subsequent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.97 / $2,634.00 / $8,419.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$748.12 / $2,741.00 / $2,741.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.73 / $583.20 / $1,184.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,341.00 / $2,626.00 / $5,864.00