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New Jersey rates for HCPCS 21247

Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $7,413.10 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,621.81 / $5,888.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,187.76 / $5,011.87
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,737.80 / $2,398.83
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $16,595.87 / $30,902.95
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,041.74 / $6,456.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $8,709.64 / $21,379.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,621.81 / $4,073.80