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Mississippi rates for HCPCS 21242

Arthroplasty, temporomandibular joint, with allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,995.26 / $2,884.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,000.00 / $1,949.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $2,818.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,311.31 / $6,456.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,548.82 / $2,041.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $4,073.80 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,148.15 / $2,290.87