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North Carolina rates for HCPCS 21243

Arthroplasty, temporomandibular joint, with prosthetic joint replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,569.93 / $4,780.50 / $10,690.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,569.93 / $1,651.68 / $3,313.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,474.86 / $3,474.86 / $3,525.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,809.56 / $3,315.50 / $10,472.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.10 / $852.10 / $23,889.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,736.92 / $2,339.19 / $4,175.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,569.93 / $2,067.84 / $3,313.37
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.00 / $2,148.00 / $2,148.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $2,099.40 / $4,444.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,020.00 / $11,617.00 / $17,964.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,382.77 / $1,967.06 / $4,402.24
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,911.44 / $68,911.44 / $78,951.35
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,304.65 / $16,304.65 / $16,304.65