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Maine rates for HCPCS 21243

Arthroplasty, temporomandibular joint, with prosthetic joint replacement

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,394.62 / $1,703.70 / $2,088.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,668.55 / $2,159.31 / $3,182.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,632.99 / $2,489.36 / $3,488.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,007.83 / $2,323.06 / $3,563.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,582.30 / $1,833.33 / $2,088.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,780.10 / $36,780.10 / $36,780.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,587.53 / $2,395.41 / $3,223.37