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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
$1,000.00 / $7,838.38 / $8,644.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.55 / $1,039.43 / $5,420.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.47 / $1,458.39 / $1,860.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,551.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$951.78 / $1,322.12 / $2,730.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.86 / $1,529.03 / $2,474.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $11,259.00 / $16,897.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.48 / $1,489.21 / $2,338.19