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Mississippi rates for HCPCS 21242

Arthroplasty Temporomandibular Jt W/Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $1,831.00 / $2,825.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.31 / $1,004.32 / $2,209.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,920.52 / $2,920.52 / $2,920.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,872.00 / $1,872.00 / $1,872.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,695.92 / $3,018.06 / $6,486.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.40 / $1,586.99 / $2,145.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.00 / $3,572.00 / $9,515.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.75 / $1,165.38 / $2,331.17