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Massachusetts rates for HCPCS 21242

Arthroplasty, temporomandibular joint, with allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.00 / $2,894.76 / $6,107.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.63 / $1,014.38 / $1,619.90
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,672.22 / $5,097.00 / $15,093.22
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.48 / $1,788.93 / $11,315.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.48 / $1,675.60 / $2,925.79
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.38 / $1,909.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.84 / $1,408.60 / $1,924.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.28 / $2,476.57 / $3,266.99
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,590.68 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.51 / $1,860.62 / $11,315.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.82 / $1,572.26 / $3,397.54