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New Jersey rates for HCPCS 15572

Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.92 / $5,975.00 / $10,692.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.66 / $758.69 / $1,458.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.01 / $911.95 / $1,769.96
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.23 / $1,260.98 / $1,404.60
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,182.76 / $8,054.02 / $8,900.56
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.46 / $935.92 / $1,380.33
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
$505.30 / $866.06 / $1,847.20