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Minnesota rates for HCPCS 21242

Arthroplasty, temporomandibular joint, with allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,023.29 / $1,621.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $13,803.84 / $26,915.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,398.83 / $3,630.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $3,715.35 / $8,912.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $3,019.95 / $4,466.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,548.13 / $6,918.31
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,511.89 / $4,073.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,041.74 / $9,772.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,949.84 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $7,943.28 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,819.70 / $3,630.78