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New York rates for HCPCS 21242

Arthroplasty, temporomandibular joint, with allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.94 / $5,157.00 / $11,396.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.55 / $1,061.08 / $1,936.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,046.00 / $7,264.00 / $12,538.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.40 / $1,112.95 / $2,411.66
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,434.66 / $2,644.00 / $12,319.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,434.66 / $1,434.66 / $1,434.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,134.56 / $1,134.56 / $1,134.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.88 / $1,540.36 / $3,551.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,370.00 / $2,596.46
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.28 / $1,520.06 / $2,227.17
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.00 / $950.00 / $950.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.04 / $1,211.82 / $2,137.67
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $1,134.56
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.58 / $1,525.71 / $3,533.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,963.00 / $14,457.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.61 / $1,276.89 / $3,161.51
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,211.82 / $1,211.82 / $4,606.72
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.05 / $1,323.93 / $2,561.59