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Arkansas rates for HCPCS 21243

Arthroplasty, temporomandibular joint, with prosthetic joint replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $2,060.35 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,452.09 / $2,004.83 / $2,346.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,270.62 / $22,270.62 / $26,724.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,786.78 / $2,233.48 / $2,364.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,337.37 / $4,337.37 / $4,337.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,834.35 / $2,513.76 / $3,128.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $3,709.00 / $7,779.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,477.31 / $1,912.72 / $3,183.00