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North Dakota rates for HCPCS 21242

Arthroplasty Temporomandibular Jt W/Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.09 / $1,029.09 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.66 / $1,029.09 / $1,029.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,001.51 / $2,206.09 / $2,586.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.02 / $2,517.35 / $3,353.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.09 / $1,354.19 / $1,813.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.82 / $1,862.86 / $2,681.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.82 / $1,862.86 / $2,318.40