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North Carolina rates for HCPCS 21242

Arthroplasty, temporomandibular joint, with allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.41 / $1,625.06 / $12,615.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.41 / $1,039.35 / $2,000.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.65 / $1,636.14 / $2,700.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.10 / $852.10 / $5,006.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.17 / $1,437.78 / $2,568.17
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.41 / $1,251.24 / $2,096.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.00 / $1,294.00 / $1,307.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $1,318.40 / $2,680.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,183.00 / $12,216.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.57 / $1,238.16 / $2,482.46
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,590.68 / $16,547.20 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,315.02 / $11,315.02 / $11,315.02