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New Jersey rates for HCPCS 21497

Interdental wiring, for condition other than fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.30 / $4,540.00 / $9,784.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.34 / $651.17 / $1,084.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.25 / $959.32 / $2,150.12
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.02 / $1,105.60 / $1,143.17
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,002.18 / $3,258.77 / $6,868.01
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.04 / $793.89 / $1,626.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,844.00 / $7,579.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.92 / $874.13 / $2,180.53