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New York rates for HCPCS 21480

Closed treatment of temporomandibular dislocation; initial or subsequent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $2,630.27 / $7,413.10
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,174.90 / $2,570.40 / $2,570.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,630.78 / $5,011.87
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $1,258.93 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $83.18 / $186.21
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,754.23 / $4,897.79
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $37.15 / $154.88