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New Mexico rates for HCPCS 21485

Closed treatment of temporomandibular dislocation; complicated (eg, recurrent requiring intermaxillary fixation or splinting), initial or subsequent

Facilitymedian $1,549 · 10th–90th $724–$7,7620%10%10th90th$1,549Professionalmedian $912 · 10th–90th $661–$1,6220%10%10th90th$912$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,479.11 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $912.01 / $1,621.81
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $6,025.60 / $9,549.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $954.99 / $3,162.28
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $794.33
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $831.76 / $1,445.44
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $1,000.00 / $1,905.46
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $3,467.37 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $933.25 / $1,548.82