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New Jersey rates for HCPCS 21490

Open treatment of temporomandibular dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.45 / $5,982.00 / $10,871.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.64 / $861.94 / $1,364.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.37 / $1,263.19 / $2,744.95
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.25 / $1,230.03 / $1,252.06
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,134.65 / $7,134.65 / $17,097.55
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.62 / $1,018.56 / $2,329.83
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
$690.26 / $1,054.60 / $2,458.91