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New Jersey rates for HCPCS 21146

Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes obtaining autografts) (eg, ungrafted unilateral alveolar cleft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,680.17 / $6,396.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.69 / $1,586.50 / $2,659.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.89 / $2,353.28 / $5,071.47
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,443.01 / $2,277.33 / $2,529.48
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.78 / $1,996.73 / $4,117.64
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
$1,293.57 / $2,106.26 / $5,157.87