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Oklahoma rates for HCPCS 21242

Arthroplasty, temporomandibular joint, with allograft

Facilitymedian $4,169 · 10th–90th $1,148–$8,7100%10%10th90th$4,169Professionalmedian $1,047 · 10th–90th $851–$1,6220%20%10th90th$1,047$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $3,890.45 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,023.29 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,677.35 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $1,318.26 / $1,548.82
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,862.09 / $10,232.93
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,148.15 / $11,220.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $5,370.32 / $10,715.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,023.29 / $1,380.38