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New Jersey rates for HCPCS 25622

Closed Tx Carpal Scaphoid Fracture W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.66 / $4,174.00 / $10,692.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$194.00 / $216.46 / $288.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.28 / $288.61 / $491.72
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.17 / $348.17 / $348.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.31 / $416.33 / $910.83
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.33 / $434.26 / $520.54
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.18 / $561.69 / $1,112.21
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.47 / $357.09 / $694.69
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
$258.60 / $374.94 / $890.29