go back

New Jersey rates for HCPCS 21175

Rcnstj Bifrontal Superior-Lat Orb Rims & Lwr Fhd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,195.96 / $6,628.00 / $11,798.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,997.11 / $2,195.29 / $3,583.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,160.71 / $3,137.08 / $6,814.52
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,023.10 / $3,217.21 / $3,484.10
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,606.42 / $11,606.42 / $14,382.16
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,790.78 / $2,632.23 / $5,055.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,885.00 / $8,558.00 / $15,604.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,822.08 / $2,684.71 / $6,419.07