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New Jersey rates for HCPCS 21147

Rcnstj Midface Lefort I 3/> Piece W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,708.87 / $6,396.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,455.27 / $1,670.52 / $2,723.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,572.30 / $2,482.07 / $5,352.83
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.19 / $2,259.71 / $2,657.82
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,384.62 / $2,035.21 / $4,297.89
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
$1,321.99 / $2,291.23 / $5,436.00