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New Jersey rates for HCPCS 21485

Closed Tx Temporomandibular Dislc Comp 1st/Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.97 / $4,540.00 / $9,784.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.97 / $727.81 / $1,233.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.85 / $1,073.29 / $2,209.60
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.91 / $1,473.67 / $1,527.10
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,002.18 / $3,468.46 / $7,314.01
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.71 / $961.86 / $1,751.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,705.00 / $5,265.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.61 / $1,031.45 / $2,709.54