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Wyoming rates for HCPCS 21480

Closed treatment of temporomandibular dislocation; initial or subsequent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.15 / $187.15 / $187.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.00 / $252.00 / $252.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00