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New Jersey rates for HCPCS 21275

Secondary revision of orbitocraniofacial reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.87 / $6,986.00 / $13,413.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.43 / $827.02 / $1,428.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.43 / $1,173.83 / $2,575.55
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.43 / $1,207.21 / $1,340.46
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,606.42 / $13,014.26 / $29,209.37
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.24 / $1,017.62 / $2,096.56
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
$684.96 / $1,078.58 / $2,522.92