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Maryland rates for HCPCS 21243

Arthroplasty, temporomandibular joint, with prosthetic joint replacement

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,459.41 / $1,696.94 / $1,912.94
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,844.97 / $1,844.97 / $2,208.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $728.96 / $13,141.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,502.56 / $2,186.09 / $3,763.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,671.38 / $2,156.08 / $2,830.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$774.00 / $1,540.96 / $36,780.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,294.11 / $1,907.18 / $3,361.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.29 / $1,922.09 / $2,391.17