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New Jersey rates for HCPCS 21485

Closed treatment of temporomandibular dislocation; complicated (eg, recurrent requiring intermaxillary fixation or splinting), initial or subsequent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $5,888.44 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $851.14 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,023.29 / $2,454.71
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,318.26 / $1,737.80
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $4,786.30 / $7,585.78
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,047.13 / $3,162.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $5,128.61 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $851.14 / $1,905.46