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New Jersey rates for HCPCS 21400

Closed treatment of fracture of orbit, except blowout; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.96 / $4,540.00 / $9,784.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.94 / $177.48 / $271.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.36 / $251.76 / $540.97
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.32 / $285.48 / $358.31
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.33 / $1,238.08 / $2,361.16
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.51 / $228.13 / $428.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.00 / $3,352.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.13 / $252.05 / $613.12