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New Jersey rates for HCPCS 21401

Closed treatment of fracture of orbit, except blowout; with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.11 / $5,695.00 / $10,202.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.82 / $438.98 / $622.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.94 / $594.72 / $1,234.02
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.70 / $704.04 / $822.40
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,906.24 / $3,258.77 / $7,314.01
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.64 / $549.21 / $1,052.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,705.00 / $5,265.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.14 / $640.51 / $1,573.22