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Florida 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
$660.69 / $3,388.44 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $831.76 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $660.69 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $954.99 / $1,548.82
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $4,786.30 / $9,549.93
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $676.08 / $977.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $645.65 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,548.13 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $707.95 / $1,380.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $645.65 / $1,023.29