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Nebraska 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
$4,241.22 / $8,477.27 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,086.90 / $11,951.75 / $23,118.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,376.03 / $4,376.03 / $4,376.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$982.95 / $1,720.16 / $8,632.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,319.14 / $2,547.92 / $5,383.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00