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New Jersey rates for HCPCS 21421

Closed Tx Palatal/Maxillary Fx W/Fixation/Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.65 / $5,695.00 / $11,260.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.12 / $670.37 / $1,088.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.79 / $978.96 / $2,147.03
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.98 / $908.69 / $1,040.83
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,362.84 / $6,362.84 / $15,036.65
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.80 / $787.35 / $1,673.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,567.00 / $7,263.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.23 / $778.65 / $2,033.61