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South Carolina 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
$3,019.95 / $10,471.29 / $18,197.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $9,332.54 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,096.48 / $4,786.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $2,398.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,479.11 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $17,378.01 / $26,302.68