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West Virginia rates for HCPCS 21243

Arthroplasty, temporomandibular joint, with prosthetic joint replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $1,552.92 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,552.92 / $1,734.70 / $2,580.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,555.26 / $1,700.99 / $2,033.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.22 / $1,807.45 / $1,807.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,877.47 / $1,877.47 / $1,877.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.58 / $2,298.46 / $4,860.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,522.00 / $3,522.00 / $3,522.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.59 / $1,878.45 / $2,633.05