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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
$2,949.46 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.19 / $5,002.37 / $5,002.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,521.71 / $3,393.43 / $4,358.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.90 / $5,002.37 / $7,003.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,466.42 / $2,959.71 / $6,008.50
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,740.00 / $5,022.39 / $6,050.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.90 / $5,002.37 / $7,003.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,520.90 / $4,964.00 / $6,580.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,714.74 / $4,652.87 / $5,972.43