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Alaska rates for HCPCS 21240

Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $12,022.64 / $30,902.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $2,187.76 / $7,413.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,698.24 / $5,754.40