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New Jersey rates for HCPCS 15769

Grafting Of Autologous Soft Tiss By Direct Exc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.70 / $6,338.00 / $11,557.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.70 / $432.27 / $1,088.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.18 / $561.12 / $1,112.63
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.10 / $690.12 / $760.03
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,419.88 / $8,054.02 / $16,974.24
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.64 / $544.48 / $953.29
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
$273.58 / $445.38 / $963.98