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Montana rates for HCPCS 21243

Arthroplasty, temporomandibular joint, with prosthetic joint replacement

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,669.84 / $2,288.28 / $8,708.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,631.63 / $2,631.63 / $2,631.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,393.37 / $2,631.63 / $2,866.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,259.04 / $1,731.18 / $2,631.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,556.54 / $2,548.80 / $3,453.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,009.54 / $2,009.54 / $36,780.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,097.11 / $2,713.16 / $3,105.96