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New Jersey rates for HCPCS 21215

Graft Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.63 / $5,461.00 / $11,332.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.14 / $3,255.13 / $4,469.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.41 / $3,643.53 / $10,090.37
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,310.06 / $5,121.60 / $6,515.11
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,989.59 / $13,851.67 / $31,187.56
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.19 / $3,827.67 / $7,446.77
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
$2,590.13 / $4,579.54 / $11,898.84