go back

Alabama rates for HCPCS 21242

Arthroplasty Temporomandibular Jt W/Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,678.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.27 / $940.66 / $1,607.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,098.32 / $7,382.51 / $9,931.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.54 / $1,298.00 / $1,664.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.64 / $1,206.20 / $3,526.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $4,121.00 / $7,227.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.37 / $986.55 / $1,686.11