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Mississippi rates for HCPCS 21485

Closed Tx Temporomandibular Dislc Comp 1st/Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $1,250.00 / $1,834.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.28 / $887.32 / $1,834.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.58 / $697.58 / $697.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.00 / $645.00 / $645.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.48 / $680.07 / $3,384.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.28 / $1,082.68 / $1,507.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.00 / $1,305.00 / $3,046.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.12 / $874.57 / $1,821.73