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New Jersey rates for HCPCS 21256

Reconstruction Orbit W/Osteotomies & Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,180.04 / $5,695.00 / $10,871.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.64 / $1,194.90 / $2,054.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.58 / $1,692.38 / $3,547.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.82 / $1,733.62 / $1,971.76
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,382.16 / $27,428.23 / $29,209.37
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.93 / $1,483.12 / $3,150.38
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
$1,006.10 / $1,655.56 / $4,196.52