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Vermont 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
Professional
Modifier
Low / Median / High Price
$707.30 / $840.47 / $1,173.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.15 / $1,153.28 / $2,026.06
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.15 / $1,121.25 / $2,026.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.24 / $1,221.83 / $3,699.38