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Tennessee 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
$866.52 / $2,303.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.67 / $866.52 / $1,350.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.00 / $2,181.00 / $3,004.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.10 / $962.93 / $1,659.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.43 / $1,018.15 / $1,696.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,296.32 / $5,529.30 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,560.64 / $6,786.96 / $7,942.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.00 / $2,297.00 / $4,099.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.87 / $874.57 / $1,779.51