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New Jersey rates for HCPCS 21155

Rcnstj Midface Lefort Iii W/Lefort I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,399.88 / $6,396.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,926.58 / $2,184.52 / $3,525.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,174.23 / $3,185.40 / $6,722.90
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,952.43 / $3,345.80 / $3,351.72
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,724.98 / $2,642.27 / $5,587.33
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
$1,804.59 / $2,836.62 / $6,387.25