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Washington, DC rates for HCPCS 21490

Open treatment of temporomandibular dislocation

Facilitymedian $4,074 · 10th–90th $1,413–$7,7620%10%20%10th90th$4,074Professionalmedian $851 · 10th–90th $724–$1,9500%20%10th90th$851$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $4,073.80 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $851.14 / $1,737.80
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $2,818.38 / $7,943.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,096.48 / $2,137.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,778.28 / $1,819.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $13,182.57 / $28,183.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,096.48 / $2,137.96