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North Dakota rates for HCPCS 21240

Arthrp Temporomandibular Joint W/Wo Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,085.48 / $1,085.48 / $8,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,085.48 / $1,405.05 / $1,969.43