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Arizona rates for HCPCS 21242

Arthroplasty, temporomandibular joint, with allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $7,963.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.83 / $956.54 / $2,593.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.35 / $3,555.20 / $5,814.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.24 / $1,202.56 / $1,503.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.19 / $1,203.09 / $2,051.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.95 / $1,305.27 / $7,167.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.32 / $1,109.59 / $11,315.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,637.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.45 / $1,036.14 / $2,033.31