search again

Nationwide rates for HCPCS 21490

Open Treatment Temporomandibular Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.50 / $3,909.00 / $8,066.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.96 / $861.94 / $1,380.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,385.00 / $4,133.00 / $9,074.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.75 / $1,052.48 / $1,575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.23 / $1,389.94 / $1,918.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.60 / $1,236.28 / $1,888.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $6,231.00 / $11,869.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.51 / $1,088.38 / $1,865.58