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New Jersey rates for HCPCS 21261

Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,279.29 / $5,695.00 / $10,871.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,903.12 / $2,255.94 / $3,737.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,220.40 / $3,201.92 / $6,205.63
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,839.02 / $3,803.02 / $3,833.49
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,606.42 / $13,014.26 / $31,187.56
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,992.43 / $2,875.94 / $6,027.57
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
$1,932.96 / $3,080.84 / $6,354.34