go back

Rhode Island rates for HCPCS 21242

Arthroplasty Temporomandibular Jt W/Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,438.26 / $3,706.14 / $4,026.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.69 / $1,280.77 / $1,555.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.15 / $1,211.28 / $1,959.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,261.75 / $1,633.51 / $2,096.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,219.00 / $7,228.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.21 / $1,452.96 / $2,222.63