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New Jersey rates for HCPCS 21245

Reconstruction of mandible or maxilla, subperiosteal implant; partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $9,772.37 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,122.02 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,479.11 / $3,235.94
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,584.89 / $2,187.76
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $19,054.61 / $30,199.52
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,412.54 / $4,365.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $9,120.11 / $21,379.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,148.15 / $2,818.38