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New Jersey rates for HCPCS 12054

Repair Intermediate F/E/E/N/L&/Muc 7.6-12.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.71 / $4,163.00 / $9,383.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.38 / $291.18 / $504.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.24 / $328.92 / $627.17
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.06 / $535.52 / $605.58
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.87 / $878.95 / $1,972.74
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.52 / $371.77 / $569.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.00 / $3,352.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.48 / $371.77 / $723.07