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New Jersey rates for HCPCS 21087

Impression & Preparation Nasal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,572.56 / $1,760.07 / $2,342.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.59 / $1,603.43 / $2,461.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,385.27 / $2,334.78 / $4,907.57
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,852.76 / $2,453.92 / $3,030.88
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,989.59 / $13,014.26 / $29,209.37
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.52 / $1,654.53 / $3,860.45
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
$1,346.68 / $2,274.10 / $4,941.58