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New Jersey rates for HCPCS 21263

Periorbital Osteotomies W/Bone Grafts W/Forehead

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,044.00 / $5,695.00 / $10,871.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,716.71 / $2,044.00 / $3,436.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,018.95 / $2,914.62 / $5,651.63
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,055.83 / $2,924.43 / $3,544.68
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,382.16 / $16,352.10 / $27,428.23
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,844.77 / $2,568.03 / $4,896.81
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
$1,702.38 / $2,755.86 / $6,649.43