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New Jersey rates for HCPCS 22904

Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,311.15 / $5,458.00 / $9,950.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.66 / $1,093.09 / $1,782.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.88 / $1,603.03 / $3,437.34
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.17 / $1,627.71 / $1,955.10
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,701.56 / $6,958.22 / $7,911.28
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.21 / $1,155.04 / $2,135.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,705.00 / $5,265.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.50 / $1,214.80 / $3,596.56