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Nationwide rates for HCPCS 21240

Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $4,786.30 / $11,748.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $8,912.51 / $17,782.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $3,090.30 / $7,585.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $7,244.36 / $16,218.10