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New Jersey rates for HCPCS 21423

Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve foramina), multiple approaches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.27 / $6,396.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.27 / $822.35 / $1,276.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.80 / $1,150.38 / $2,402.78
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.32 / $1,230.76 / $1,263.07
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.24 / $953.59 / $2,003.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,682.00 / $9,969.00 / $19,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.16 / $1,012.00 / $2,282.51