go back

Minnesota rates for HCPCS 21243

Arthroplasty, temporomandibular joint, with prosthetic joint replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,702.93 / $1,702.93 / $6,781.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,620.95 / $1,702.93 / $2,682.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,973.96 / $32,422.94 / $66,228.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,835.73 / $4,653.64 / $6,089.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,114.02 / $5,837.20 / $14,042.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,970.36 / $4,731.71 / $7,027.32
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,740.02 / $5,336.60 / $11,056.84
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,689.27 / $4,268.93 / $6,444.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,702.93 / $2,877.95 / $7,872.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,860.12 / $3,305.94 / $6,642.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $6,787.00 / $11,165.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,860.12 / $3,210.46 / $6,204.28