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New Jersey rates for HCPCS 21047

Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally aggressive or destructive lesion[s])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.54 / $5,398.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.32 / $1,292.24 / $2,112.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.60 / $1,867.63 / $3,926.29
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.32 / $1,875.18 / $1,896.06
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,606.42 / $14,382.16 / $27,428.23
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.48 / $1,483.03 / $3,288.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,682.00 / $9,969.00 / $19,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.58 / $1,526.65 / $3,792.25