go back

Tennessee rates for HCPCS 21480

Closed Tx Temporomandibular Dislocation 1st/Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.36 / $1,821.00 / $6,681.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$427.80 / $427.80 / $427.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.00 / $1,504.00 / $2,244.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.77 / $259.77 / $12,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.00 / $794.00 / $2,495.00