go back

Wyoming rates for HCPCS 21242

Arthroplasty, temporomandibular joint, with allograft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.94 / $1,023.91 / $1,305.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,006.39 / $5,006.39 / $5,006.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,931.00 / $2,317.00 / $3,506.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,406.36 / $2,047.81 / $2,823.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $5,188.00 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.61 / $2,033.87 / $3,443.68