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Colorado rates for HCPCS 21485

Closed treatment of temporomandibular dislocation; complicated (eg, recurrent requiring intermaxillary fixation or splinting), initial or subsequent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,248.00 / $4,063.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.97 / $785.35 / $1,224.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.00 / $5,126.00 / $9,729.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.57 / $1,147.25 / $1,837.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.57 / $941.57 / $2,966.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.12 / $1,031.01 / $1,691.55
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.67 / $914.06 / $1,443.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.64 / $1,259.66 / $1,714.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,577.00 / $4,182.00 / $7,016.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.00 / $1,159.67 / $1,964.94