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Kentucky 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
$860.00 / $1,169.28 / $8,229.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $3,967.00 / $8,800.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.73 / $1,350.78 / $1,558.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.36 / $1,178.82 / $1,178.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $4,539.00 / $10,113.00