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Oklahoma rates for HCPCS 21242

Arthroplasty, temporomandibular joint, with allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.00 / $4,856.00 / $14,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.86 / $1,060.55 / $1,060.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,703.09 / $4,703.09 / $4,703.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.02 / $1,334.29 / $1,641.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,060.55 / $1,477.26 / $8,986.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.75 / $1,159.20 / $11,315.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,524.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.06 / $1,060.81 / $1,499.07