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Arizona rates for HCPCS 21240

Arthrp Temporomandibular Joint W/Wo Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,705.00 / $3,819.00 / $7,562.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,126.40 / $5,113.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,005.97 / $1,366.61 / $7,167.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,637.00 / $6,477.00 / $9,010.00