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Ohio rates for HCPCS 21242

Arthroplasty, temporomandibular joint, with allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.00 / $6,662.00 / $11,581.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.98 / $973.29 / $1,937.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,084.00 / $4,437.00 / $19,117.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.35 / $1,230.54 / $2,766.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$885.04 / $1,135.88 / $1,508.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.23 / $1,325.20 / $127,498.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.79 / $1,342.70 / $1,962.26
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,134.56 / $1,134.56 / $1,134.56
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.90 / $1,372.52 / $1,966.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.37 / $697.24 / $1,174.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.00 / $6,231.00 / $10,075.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.44 / $1,251.49 / $2,022.74