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New Jersey rates for HCPCS 21172

Rcnstj Superior-Lateral Orbital Rim & Lower Fhd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,810.66 / $6,628.00 / $11,798.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,652.75 / $1,906.52 / $3,472.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,924.67 / $2,701.45 / $5,612.16
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,031.82 / $2,773.50 / $3,576.50
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,606.42 / $14,382.16 / $27,428.23
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,657.76 / $2,373.26 / $4,556.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,474.00 / $8,558.00 / $15,604.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,639.39 / $2,332.44 / $5,775.51