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Alaska rates for HCPCS 21050

Condylectomy Temporomandibular Joint Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,741.00 / $10,480.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.93 / $4,246.99 / $4,246.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,157.80 / $2,903.73 / $3,730.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.51 / $4,246.99 / $5,945.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.84 / $861.84 / $1,231.20
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,240.00 / $4,285.70 / $5,188.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.51 / $4,246.99 / $5,945.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,289.64 / $4,257.75 / $5,706.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,322.98 / $3,981.43 / $5,110.56