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New York rates for HCPCS 21240

Arthrp Temporomandibular Joint W/Wo Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,332.69 / $4,629.00 / $10,965.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,046.00 / $7,417.00 / $18,161.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,495.78 / $2,390.00 / $10,957.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,178.82 / $1,178.82 / $1,178.82
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,443.00 / $2,695.16
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$987.71 / $987.71 / $987.71
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,187.79 / $9,187.79 / $9,187.79
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $1,178.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,963.00 / $14,457.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,254.84 / $1,254.84 / $4,962.12