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North Dakota 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
$735.63 / $901.64 / $2,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.28 / $769.75 / $1,025.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.51 / $1,937.21 / $2,381.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.01 / $2,017.23 / $3,055.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.03 / $901.64 / $1,659.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.95 / $1,415.28 / $5,805.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.95 / $1,415.28 / $2,001.60