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California 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
$1,992.00 / $7,648.00 / $18,309.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,776.00 / $8,592.00 / $17,774.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $10,377.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,813.00 / $5,729.24 / $10,261.32
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.84 / $1,230.52 / $1,671.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.38 / $1,375.24 / $2,541.17
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,812.26 / $16,547.20 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,118.01 / $1,403.68 / $2,234.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,799.00 / $12,313.00 / $26,451.00