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Georgia 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
$831.76 / $4,365.16 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $891.25 / $1,513.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,238.72 / $4,786.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $912.01 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $912.01 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,047.13 / $1,995.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,122.02 / $6,309.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,951.21 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $870.96 / $1,862.09