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New Jersey rates for HCPCS 21143

Rcnstj Midface Lefort I 3/> Piece W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.80 / $6,321.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.39 / $1,432.85 / $2,427.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,321.17 / $2,011.49 / $4,380.70
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.97 / $2,081.04 / $2,208.38
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,180.88 / $16,352.10 / $29,209.37
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.39 / $1,684.49 / $3,475.71
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
$1,162.19 / $1,983.85 / $4,259.99