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South Carolina rates for HCPCS 21480

Closed treatment of temporomandibular dislocation; initial or subsequent

Facilitymedian $331 · 10th–90th $45$9,1200%5%10th90th$331$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
$87.10 / $4,897.79 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $281.84 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $371.54 / $575.44
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $107.15 / $239.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $1,122.02 / $4,677.35