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Alaska rates for HCPCS 21243

Arthroplasty, temporomandibular joint, with prosthetic joint replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,892.39 / $9,813.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,488.50 / $8,297.67 / $8,297.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,036.98 / $5,495.51 / $7,211.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.34 / $8,297.67 / $11,616.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,939.00 / $4,726.80 / $9,595.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,088.75 / $8,094.32 / $10,010.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.34 / $8,297.67 / $11,616.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,522.71 / $8,000.20 / $10,839.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,780.10 / $36,780.10 / $36,780.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,396.39 / $7,693.70 / $9,672.08