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Utah rates for HCPCS 21242

Arthroplasty Temporomandibular Jt W/Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.84 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.98 / $1,424.84 / $5,420.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.86 / $1,426.29 / $2,122.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $594.51 / $934.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,413.68 / $11,103.62 / $16,181.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,316.33 / $1,708.03 / $2,592.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.42 / $1,059.59 / $1,689.72