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New Jersey rates for HCPCS 21040

Excision of benign tumor or cyst of mandible, by enucleation and/or curettage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.36 / $4,189.00 / $9,284.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.43 / $440.05 / $686.35
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,546.95 / $3,546.95 / $3,546.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.71 / $646.04 / $1,407.76
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.82 / $680.19 / $742.52
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,362.84 / $6,572.89 / $17,097.55
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.83 / $537.98 / $1,113.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,879.00 / $5,864.00 / $10,105.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.08 / $608.25 / $1,518.49