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New Jersey rates for HCPCS 21431

Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.38 / $6,396.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.14 / $750.38 / $1,226.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.60 / $1,049.13 / $2,257.80
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.51 / $1,028.78 / $1,106.06
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.15 / $863.64 / $1,828.67
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
$571.13 / $836.14 / $2,094.81