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New Jersey rates for HCPCS 21086

Impression and custom preparation; auricular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,344.23 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,659.59 / $4,168.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,290.87 / $4,897.79
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,089.30 / $2,754.23
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,471.29 / $16,595.87
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,698.24 / $5,011.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $8,709.64 / $21,379.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,698.24 / $4,073.80