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New Jersey rates for HCPCS 15860

Intravenous injection of agent (eg, fluorescein) to test vascular flow in flap or graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $5,370.32 / $10,715.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $114.82
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,288.25 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $2,884.03 / $7,762.47