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Tennessee rates for HCPCS 21242

Arthroplasty, temporomandibular joint, with allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,256.00 / $2,940.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.86 / $1,039.35 / $1,619.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,984.00 / $5,742.00 / $9,283.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.17 / $1,353.90 / $2,119.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.88 / $1,435.50 / $2,147.25
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,590.68 / $16,547.20 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,315.02 / $11,315.02 / $11,315.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,905.00 / $6,073.00 / $10,287.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.69 / $1,200.34 / $2,230.52