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New Jersey rates for HCPCS 0412T

Removal of permanent cardiac contractility modulation system; pulse generator only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,612.00 / $6,153.00 / $10,871.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.91 / $226.90 / $282.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,351.00 / $26,155.00 / $34,609.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.07 / $326.07 / $326.07
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,140.24 / $7,140.24 / $19,186.50
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.24 / $257.32 / $471.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,378.00 / $8,305.00 / $14,121.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.63 / $279.95 / $693.95