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New Jersey rates for HCPCS 19396

Preparation Moulage Custom Breast Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.42 / $5,905.00 / $10,692.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.33 / $171.42 / $268.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.38 / $319.83 / $800.52
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.07 / $409.67 / $501.46
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,424.29 / $8,966.36 / $20,188.08
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.04 / $272.56 / $445.18
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
$147.80 / $294.88 / $635.62