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Washington, DC 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
$851.14 / $4,073.80 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $870.96 / $1,621.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,659.59 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $954.99 / $2,454.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,778.28 / $2,290.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $6,606.93 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $977.24 / $2,238.72