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North Dakota rates for HCPCS 21243

Arthroplasty, temporomandibular joint, with prosthetic joint replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,654.70 / $1,654.70 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,544.67 / $1,654.70 / $1,702.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,202.80 / $3,526.49 / $4,144.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,005.56 / $4,006.84 / $5,337.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,654.70 / $2,047.62 / $2,812.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.38 / $3,082.17 / $4,307.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,667.00 / $8,667.00 / $8,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.38 / $3,035.55 / $3,736.44