go back

Oklahoma rates for HCPCS 29804

Arthroscopy Temporomandibular Joint Surgical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.00 / $3,803.00 / $12,600.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.78 / $2,545.78 / $2,545.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.52 / $942.11 / $6,840.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $4,054.00 / $7,077.94