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Hawaii rates for HCPCS 21243

Arthroplasty, temporomandibular joint, with prosthetic joint replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,861.43 / $2,747.00 / $6,084.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,696.94 / $1,696.94 / $1,696.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,663.59 / $2,055.03 / $2,466.03
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,143.98 / $2,408.83 / $5,851.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.42 / $1,972.82 / $2,301.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $2,912.00 / $2,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,671.08 / $2,055.03 / $2,667.56
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,557.00 / $4,653.22 / $9,324.00