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Oklahoma 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
$1,000.00 / $3,683.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.98 / $826.18 / $1,008.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,383.45 / $5,375.10 / $8,492.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.99 / $1,271.86 / $1,586.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.77 / $1,059.77 / $1,059.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.45 / $881.86 / $1,155.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.00 / $973.80 / $3,436.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.54 / $864.33 / $7,097.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $1,990.00 / $4,012.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.00 / $802.59 / $1,282.84