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Massachusetts 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
$1,949.84 / $3,630.78 / $5,623.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $7,079.46 / $33,884.42
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,995.26 / $7,079.46
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,165.95 / $13,182.57
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $7,079.46 / $33,884.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,309.57 / $13,803.84