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Nevada 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
$1,026.01 / $2,173.00 / $4,899.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.10 / $849.10 / $3,915.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,072.00 / $3,931.00 / $5,258.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.47 / $758.62 / $1,272.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.66 / $691.66 / $691.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.84 / $867.66 / $1,539.02
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.67 / $844.89 / $1,408.75
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,637.08 / $1,637.08 / $1,637.08
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.22 / $912.24 / $1,498.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.00 / $2,200.00 / $6,244.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.16 / $863.48 / $1,535.31