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New Jersey rates for HCPCS 21076

Impression&Preparation Surg Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.83 / $986.21 / $1,254.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.20 / $860.84 / $1,321.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.03 / $1,296.34 / $2,688.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.11 / $1,367.65 / $1,626.30
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,906.24 / $3,258.77 / $6,868.01
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.23 / $911.85 / $2,029.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,705.00 / $5,265.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.37 / $1,060.59 / $2,320.88