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Georgia rates for HCPCS 21240

Arthrp Temporomandibular Joint W/Wo Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,742.78 / $4,817.00 / $6,915.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $3,837.00 / $8,545.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,804.17 / $2,170.77 / $2,952.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,178.82 / $1,178.82 / $4,013.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.58 / $1,741.61 / $3,383.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.00 / $7,794.00 / $14,048.00