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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
$2,089.30 / $4,786.30 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,047.13 / $2,884.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,884.03 / $4,265.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,412.54 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,202.26 / $2,041.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,412.54 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,202.26 / $11,220.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $6,025.60 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,047.13 / $1,862.09