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North Carolina 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
$776.25 / $1,071.52 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $933.25 / $1,905.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $954.99 / $1,778.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $977.24 / $1,819.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $2,290.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $933.25 / $1,479.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,513.56 / $2,137.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $3,467.37 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $758.58 / $1,479.11
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $28,840.32
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,760.83 / $6,760.83 / $7,943.28