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New Jersey rates for HCPCS 21196

Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.45 / $6,338.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.96 / $1,480.45 / $2,348.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,362.55 / $2,114.92 / $4,445.02
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,283.14 / $2,149.86 / $2,238.69
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,989.59 / $14,382.16 / $31,187.56
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.74 / $1,709.02 / $3,682.82
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
$1,166.45 / $1,757.18 / $4,240.83