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Iowa rates for HCPCS 21242

Arthroplasty Temporomandibular Jt W/Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,693.00 / $5,549.00 / $7,943.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.66 / $1,555.53 / $1,619.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,903.00 / $2,324.06 / $2,905.07
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.61 / $1,573.53 / $6,051.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,619.90 / $2,520.75 / $11,869.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.76 / $2,054.30 / $11,315.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,890.34 / $2,508.05 / $5,383.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,573.15 / $2,219.78 / $3,107.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,221.00 / $8,060.00 / $11,869.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.68 / $1,570.56 / $2,925.17
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.27 / $1,957.30 / $2,302.80