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Massachusetts rates for HCPCS 21242

Arthroplasty, temporomandibular joint, with allograft

Facilitymedian $3,631 · 10th–90th $1,230$6,9180%10%10th90th$3,631Professionalmedian $1,230 · 10th–90th $955$2,7540%10%10th90th$1,230$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,715.35 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,071.52 / $2,570.40
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $5,888.44 / $15,135.61
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,548.82 / $11,748.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,513.56 / $2,951.21
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $1,318.26 / $3,630.78
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,258.93 / $1,778.28
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $6,165.95 / $13,182.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,778.28 / $2,818.38
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $5,888.44 / $15,135.61
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,548.82 / $11,748.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $5,888.44 / $13,803.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,584.89 / $2,884.03