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Iowa rates for HCPCS 21240

Arthrp Temporomandibular Joint W/Wo Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,146.00 / $5,463.36 / $7,120.36
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.61 / $1,640.13 / $5,970.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,685.09 / $2,737.71 / $11,869.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,957.58 / $2,598.69 / $5,383.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,221.00 / $8,060.00 / $11,869.99