go back

Delaware rates for HCPCS 21243

Arthroplasty, temporomandibular joint, with prosthetic joint replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,111.64 / $4,111.64 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.35 / $1,599.86 / $1,599.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,271.70 / $15,271.70 / $15,271.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,415.67 / $1,739.35 / $3,093.58
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,282.36 / $14,282.36 / $14,282.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,530.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,376.74 / $1,734.85 / $3,722.37