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Texas 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
$961.02 / $3,682.00 / $12,941.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,122.95 / $7,372.81 / $14,745.61
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$923.50 / $6,540.10 / $6,540.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,178.82 / $1,178.82 / $1,178.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,812.26 / $16,547.20 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,024.10 / $1,337.43 / $2,295.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,024.10 / $1,350.62 / $2,451.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,134.00