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New Jersey rates for HCPCS 21123

Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.72 / $6,986.00 / $13,413.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.65 / $878.65 / $1,500.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.94 / $1,248.17 / $2,548.78
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.75 / $1,300.54 / $1,327.94
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,572.89 / $7,593.73 / $16,013.10
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.07 / $1,032.39 / $2,236.33
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
$692.27 / $1,031.55 / $2,628.50