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New Mexico rates for HCPCS 21242

Arthroplasty, temporomandibular joint, with allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $2,089.30 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,023.29 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,445.44 / $3,388.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $288.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,412.54 / $2,187.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,479.11 / $2,344.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $11,220.18 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,445.44 / $1,995.26