go back

Nebraska rates for HCPCS 21243

Arthroplasty, temporomandibular joint, with prosthetic joint replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $8,477.27 / $21,899.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,565.89 / $1,565.89 / $8,297.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,999.34 / $17,097.68 / $33,072.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,501.69 / $2,559.69 / $3,412.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,879.24 / $20,879.24 / $20,879.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,410.00 / $3,699.17 / $4,929.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.89 / $2,740.31 / $11,911.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,042.01 / $3,377.18 / $4,605.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,013.56 / $3,888.92 / $25,680.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,609.58 / $3,422.07 / $4,929.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,210.00 / $7,221.00 / $16,246.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,042.01 / $3,513.29 / $4,398.18