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Jaw Joint Rebuilt With Donor Tissue

Mississippi rates for HCPCS 21242

Reshapes or rebuilds the jaw joint in front of the ear using tissue supplied by a donor bank rather than tissue taken from the patient. It is done when the joint surface is worn, damaged, or destroyed and the jaw no longer moves or bites properly.

Rates data updated July 2026.

Facilitymedian $1,995 · 10th–90th $891$8,3180%10%10th90th$1,995Professionalmedian $1,175 · 10th–90th $813$2,1880%20%10th90th$1,175$50.0$200.0$1.0K$5.0K$20.0K

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
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$933.25
Typical High
$2,187.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$977.24
Typical High
$2,187.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$2,818.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$3,019.95
Typical High
$6,456.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,479.11
Typical High
$2,041.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$4,168.69
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,148.15
Typical High
$2,344.23