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New Jersey rates for HCPCS 21440

Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.34 / $5,695.00 / $10,202.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.69 / $553.30 / $1,006.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.35 / $820.43 / $1,790.76
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.09 / $957.19 / $1,213.19
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,572.89 / $7,593.73 / $16,013.10
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.64 / $729.37 / $1,434.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $7,250.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.22 / $802.26 / $2,065.73