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Florida rates for HCPCS 21242

Arthroplasty Temporomandibular Jt W/Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$874.00 / $3,836.00 / $12,173.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.27 / $993.48 / $1,328.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.00 / $2,907.91 / $3,461.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.34 / $1,277.35 / $2,047.89
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,804.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.36 / $925.73 / $1,171.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.48 / $733.63 / $1,245.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,581.00 / $10,309.00 / $15,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.64 / $1,046.94 / $1,815.39
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.25 / $721.25 / $969.05