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New Jersey rates for HCPCS 21348

Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $8,511.38 / $12,302.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,148.15 / $4,365.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,584.89 / $3,467.37
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,174.90 / $1,621.81
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $16,595.87 / $30,902.95
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,412.54 / $4,677.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $8,709.64 / $21,379.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,148.15 / $2,754.23