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New Jersey rates for HCPCS 21390

Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.44 / $6,628.00 / $13,092.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,014.26 / $13,851.67 / $31,187.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,682.00 / $9,969.00 / $19,696.00