go back

Vermont rates for HCPCS 21242

Arthroplasty Temporomandibular Jt W/Allograft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,197.69 / $1,240.98 / $1,240.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.47 / $1,784.66 / $2,312.78
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.88 / $1,510.13 / $2,312.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,290.74 / $1,452.63 / $4,222.89