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Oregon rates for HCPCS 21490

Open treatment of temporomandibular dislocation

Facilitymedian $1,585 · 10th–90th $1,096$9,5500%20%10th90th$1,585Professionalmedian $1,413 · 10th–90th $759$2,1880%10%20%10th90th$1,413$10.0$100.0$1.0K$10.0K$100.0K$1.0M

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
$1,584.89 / $2,041.74 / $13,182.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $933.25 / $2,187.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,584.89 / $2,238.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,548.82 / $1,905.46
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,380.38 / $2,041.74
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,548.82 / $2,089.30
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,584.89 / $1,778.28
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,380.38 / $1,995.26
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $1,548.82 / $2,137.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $10,232.93 / $13,489.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,862.09 / $2,454.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $15,135.61 / $22,908.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,621.81 / $2,238.72