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Alabama rates for HCPCS 21485

Closed Tx Temporomandibular Dislc Comp 1st/Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $1,251.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.86 / $702.25 / $1,525.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,566.14 / $3,106.51 / $4,179.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.89 / $915.56 / $1,169.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.48 / $820.69 / $1,982.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $1,768.00 / $3,360.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.65 / $773.35 / $1,301.04