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New Jersey rates for HCPCS 21142

Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, without bone graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.29 / $6,438.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,198.75 / $1,354.14 / $2,306.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,294.22 / $1,994.39 / $4,308.96
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,220.26 / $1,979.04 / $2,143.48
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,606.42 / $13,014.26 / $31,187.56
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.31 / $1,592.25 / $3,196.54
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
$1,119.83 / $1,736.44 / $4,101.06