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Kansas 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
$1,230.27 / $3,801.89 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $912.01 / $1,548.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,000.00 / $1,548.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,148.15 / $3,019.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,096.48 / $7,079.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,230.27 / $3,311.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $851.14 / $1,288.25