go back

Florida rates for HCPCS 21485

Closed Tx Temporomandibular Dislc Comp 1st/Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.16 / $3,000.00 / $10,632.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.36 / $752.04 / $1,104.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.00 / $655.25 / $780.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.79 / $949.69 / $1,481.88
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,578.00 / $4,823.00 / $9,635.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.33 / $583.44 / $978.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.97 / $649.37 / $1,192.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,014.00 / $3,611.00 / $8,105.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.23 / $745.56 / $1,450.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.24 / $651.27 / $651.27