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New Jersey rates for HCPCS 21347

Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.78 / $6,628.00 / $11,798.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.76 / $1,100.08 / $1,837.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.34 / $1,579.23 / $3,326.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.41 / $1,629.21 / $1,642.44
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,606.42 / $13,014.26 / $27,428.23
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.23 / $1,249.96 / $2,627.24
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
$844.98 / $1,199.68 / $2,927.59