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Washington, DC 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
$1,086.38 / $4,100.00 / $6,945.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.42 / $2,374.23 / $2,374.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00