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New Jersey rates for HCPCS 21260

Periorbital Osteotomies Bone Grafts Extracranial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,337.76 / $5,695.00 / $10,871.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.25 / $1,383.17 / $2,185.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.28 / $1,830.57 / $3,762.87
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.18 / $1,778.70 / $2,164.48
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,180.88 / $14,382.16 / $29,209.37
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.69 / $1,609.85 / $3,537.99
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
$1,054.65 / $1,511.27 / $4,035.77