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Connecticut 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
$1,584.89 / $4,897.79 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $912.01 / $2,089.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $4,365.16 / $10,964.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,258.93 / $1,862.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,258.93 / $2,398.83
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,202.26 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $5,495.41 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $1,148.15 / $2,344.23