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Jaw Reconstruction With A Bone-Surface Implant

New Jersey rates for HCPCS 21245

This is a surgery to rebuild lost structure in the jaw using an implant that sits against the surface of the remaining bone, rather than being placed inside the bone itself. It helps restore the shape of the jaw and can provide support for later dental or facial reconstruction.

Facilitymedian $9,772 · 10th–90th $4,467$14,1250%10%10th90th$9,772Professionalmedian $1,202 · 10th–90th $851$3,3880%10%10th90th$1,202$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$9,772.37
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,148.15
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,513.56
Typical High
$3,311.31
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,584.89
Typical High
$2,187.76
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$19,054.61
Typical High
$30,199.52
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,412.54
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$8,709.64
Typical High
$15,488.17
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,148.15
Typical High
$2,818.38