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Missouri 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
$1,000.00 / $3,162.28 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $891.25 / $2,137.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,677.35 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $691.83 / $1,230.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $977.24 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $977.24 / $1,621.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,174.90 / $3,981.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,258.93 / $7,079.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,202.26 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $851.14 / $1,479.11