| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,376.29 | $10,376.29 | $10,376.29 | |
Martin's Point
| Facility | $10,376.29 | $10,376.29 | $10,376.29 |
Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,376.29 | $10,376.29 | $10,376.29 | |
Martin's Point
| Facility | $10,376.29 | $10,376.29 | $10,376.29 |