go back

Montana rates for HCPCS 21240

Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft)

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,645.23 / $1,645.23 / $1,645.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$819.11 / $1,126.28 / $1,645.23