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Minnesota rates for HCPCS 21242

Arthroplasty Temporomandibular Jt W/Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.35 / $1,029.35 / $6,781.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.32 / $1,029.35 / $1,619.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,796.18 / $10,745.13 / $21,650.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,753.44 / $2,812.65 / $3,680.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,486.77 / $3,528.36 / $8,487.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,866.17 / $2,972.77 / $4,415.01
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,260.69 / $3,225.77 / $6,683.43
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,689.57 / $2,657.85 / $4,048.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.08 / $1,785.18 / $5,331.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.34 / $2,040.64 / $4,134.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $7,872.00 / $11,531.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.94 / $2,040.64 / $3,862.05