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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
$831.76 / $2,570.40 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $870.96 / $1,548.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $5,011.87 / $8,128.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $870.96 / $1,258.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,023.29 / $3,981.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $912.01 / $7,079.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,949.84 / $3,801.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $724.44 / $1,096.48