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New Jersey rates for HCPCS 19112

Excision of lactiferous duct fistula

Facilitymedian $6,918 · 10th–90th $4,169–$10,9650%10%20%10th90th$6,918Professionalmedian $417 · 10th–90th $269–$9330%10%10th90th$417$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $6,918.31 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $398.11 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $524.81 / $1,202.26
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $630.96 / $954.99
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $12,302.69 / $19,498.45
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $489.78 / $977.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $6,165.95 / $10,471.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $407.38 / $851.14