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Washington, DC rates for HCPCS 21242

Arthroplasty, temporomandibular joint, with allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,049.35 / $4,100.00 / $7,007.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.35 / $1,049.35 / $1,049.35
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.61 / $1,130.68 / $8,069.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.02 / $1,541.23 / $2,782.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.14 / $2,304.09 / $2,304.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.69 / $1,515.60 / $2,789.62