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New Jersey rates for HCPCS 21268

Orbital Repositioning W/Bone Grafts Icra & Xtrc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,954.35 / $6,396.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,588.72 / $1,868.14 / $3,208.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,841.27 / $2,660.91 / $5,468.67
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,354.17 / $3,159.27 / $3,177.23
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.34 / $2,373.40 / $4,642.45
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
$1,510.60 / $2,352.81 / $5,272.85