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New Jersey rates for HCPCS 21242

Arthroplasty, temporomandibular joint, with allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.00 / $6,628.00 / $11,798.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.86 / $1,034.00 / $1,734.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.49 / $1,477.14 / $3,069.85
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.41 / $1,537.81 / $1,593.01
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,606.42 / $13,014.26 / $27,428.23
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.70 / $1,225.33 / $2,576.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,682.00 / $9,969.00 / $19,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.63 / $1,317.82 / $3,034.27