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New Jersey rates for HCPCS 39503

Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,174.00 / $6,628.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,429.54 / $5,891.49 / $9,830.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,387.49 / $8,918.41 / $18,345.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,785.23 / $8,688.66 / $10,599.09
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,779.13 / $6,197.91 / $10,789.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,846.00 / $7,273.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,109.18 / $5,992.18 / $12,251.91