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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
$1,642.06 / $6,396.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,402.74 / $1,588.04 / $2,596.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,515.10 / $2,319.26 / $4,825.67
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,407.24 / $2,427.90 / $2,470.37
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.84 / $1,892.98 / $3,917.18
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
$1,319.40 / $1,938.22 / $4,755.89