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Colorado rates for HCPCS 21242

Arthroplasty, temporomandibular joint, with allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,016.94 / $6,028.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.98 / $1,016.94 / $1,443.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,946.00 / $9,472.00 / $17,487.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.69 / $1,435.83 / $2,302.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,178.55 / $4,178.55 / $13,162.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.90 / $1,386.59 / $2,030.03
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,016.94 / $1,336.05 / $1,810.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.56 / $1,459.96 / $2,013.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,251.00 / $11,924.00 / $19,712.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.03 / $1,430.80 / $2,482.01