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New Jersey rates for HCPCS 21125

Augmentation, mandibular body or angle; prosthetic material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $9,772.37 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $2,398.83 / $4,365.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $2,570.40 / $7,413.10
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,235.94 / $4,466.84
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $19,054.61 / $30,199.52
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $2,884.03 / $7,413.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $6,606.93 / $11,220.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,995.26 / $5,623.41