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Alaska rates for HCPCS 21242

Arthroplasty, temporomandibular joint, with allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $10,000.00 / $20,417.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,288.25 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $3,388.44 / $4,365.16
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,621.81 / $7,079.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,467.37 / $5,248.07
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $4,073.80 / $6,025.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,584.89 / $5,495.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,412.54 / $3,388.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $4,677.35 / $6,025.60