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New Jersey rates for HCPCS 17004

Destruction Premalignant Lesion 15/>

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.12 / $4,174.00 / $9,860.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.02 / $135.74 / $368.08
Aetna
Facility/Professional
Professional
Modifier
22
Low / Median / High Price
$799.01 / $799.01 / $799.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.57 / $174.57 / $174.57
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.72 / $202.44 / $340.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.47 / $157.58 / $311.76
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.60 / $233.97 / $266.86
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.87 / $890.20 / $971.34
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.93 / $168.33 / $246.61
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
$88.50 / $155.30 / $320.33