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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
$4,365.16 / $5,888.44 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,096.48 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,479.11 / $3,467.37
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,445.44 / $1,862.09
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $9,549.93 / $14,454.40
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,230.27 / $4,365.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $5,128.61 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,174.90 / $2,754.23