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Alabama rates for HCPCS 21242

Arthroplasty, temporomandibular joint, with allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,659.59 / $2,344.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,071.52 / $1,995.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $7,413.10 / $10,232.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,348.96 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,202.26 / $2,290.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $4,365.16 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,023.29 / $1,737.80