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New Jersey rates for HCPCS 21193

Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,262.13 / $6,628.00 / $11,798.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.65 / $1,261.45 / $1,997.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.41 / $1,771.46 / $3,791.64
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.78 / $1,866.52 / $1,926.63
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,989.59 / $13,014.26 / $31,187.56
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.64 / $1,464.86 / $3,216.24
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
$1,014.56 / $1,493.72 / $4,408.32