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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
$575.44 / $831.76 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,071.52 / $1,698.24
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,202.26 / $1,621.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,047.13 / $2,290.87