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Missouri rates for HCPCS 21242

Arthroplasty, temporomandibular joint, with allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,389.00 / $9,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.27 / $1,020.05 / $1,622.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.58 / $1,222.33 / $1,899.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.96 / $1,357.41 / $2,262.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.60 / $1,534.14 / $15,789.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.20 / $1,425.51 / $11,315.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,044.49 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.44 / $1,317.28 / $2,160.55