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New Jersey rates for HCPCS 28490

Cltx Fx Grt Toe Phlx/Phlg W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.55 / $4,118.00 / $9,842.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$88.91 / $101.93 / $139.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.84 / $132.16 / $245.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.14 / $192.80 / $422.56
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.50 / $194.49 / $238.19
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.18 / $561.69 / $1,264.67
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.72 / $167.28 / $315.18
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
$122.54 / $170.56 / $423.69