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Kansas rates for HCPCS 21242

Arthroplasty Temporomandibular Jt W/Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,000.00 / $6,560.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.55 / $1,020.05 / $1,622.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,695.18 / $1,994.33 / $1,994.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.00 / $710.00 / $710.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.00 / $1,340.64 / $2,025.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.05 / $1,622.40 / $11,012.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.82 / $1,274.30 / $11,315.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.00 / $4,960.00 / $11,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.82 / $1,208.44 / $1,717.02