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Georgia rates for HCPCS 21242

Arthroplasty, temporomandibular joint, with allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,503.34 / $5,063.00 / $7,391.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.90 / $1,088.31 / $2,843.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $3,851.83 / $8,545.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.45 / $1,423.24 / $2,575.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,728.62 / $2,088.02 / $2,840.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,134.56 / $1,134.56 / $4,013.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.61 / $1,626.71 / $2,636.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.38 / $1,634.35 / $3,674.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,738.00 / $7,794.00 / $14,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.75 / $1,357.27 / $2,285.01