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Nevada rates for HCPCS 21490

Open treatment of temporomandibular dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.00 / $2,809.00 / $5,923.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.96 / $803.50 / $4,401.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,072.00 / $3,931.00 / $5,258.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.30 / $1,055.47 / $1,335.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,467.17 / $1,467.17 / $1,467.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.29 / $1,100.40 / $1,398.71
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $939.76 / $2,160.75
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,584.18 / $3,584.18 / $3,584.18
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.80 / $773.89 / $2,946.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,042.00 / $4,145.00 / $10,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.51 / $969.37 / $1,497.55