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Ohio rates for HCPCS 21243

Arthroplasty, temporomandibular joint, with prosthetic joint replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.69 / $6,251.00 / $11,581.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,433.17 / $1,600.63 / $3,090.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,807.00 / $8,566.00 / $60,294.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,346.70 / $2,059.65 / $4,844.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.43 / $1,819.16 / $2,416.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.57 / $2,122.36 / $127,498.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,574.31 / $2,198.16 / $3,241.78
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,877.47 / $1,877.47 / $1,877.47
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.77 / $2,228.48 / $3,135.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.74 / $1,123.29 / $1,938.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,019.00 / $7,146.00 / $15,698.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,307.75 / $2,046.56 / $3,268.13