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Maryland 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
$1,033.10 / $1,260.17 / $7,880.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $641.21 / $2,754.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.20 / $1,402.49 / $1,840.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $847.00 / $1,560.00