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North Carolina rates for HCPCS 21243

Arthroplasty, temporomandibular joint, with prosthetic joint replacement

Facilitymedian $4,786 · 10th–90th $1,660–$12,5890%10%10th90th$4,786Professionalmedian $2,089 · 10th–90th $1,514–$5,4950%10%20%10th90th$2,089$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $4,786.30 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,737.80 / $4,570.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,630.78 / $10,471.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $25,118.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,238.72 / $3,715.35
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,630.27 / $3,715.35
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,137.96 / $3,467.37
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,754.23 / $3,630.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $13,803.84 / $24,547.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,819.70 / $3,467.37
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42,657.95 / $109,647.82 / $109,647.82
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,982.44 / $16,982.44 / $16,982.44