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New Jersey rates for HCPCS 40701

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 Stg Px

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.30 / $6,450.00 / $13,092.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.76 / $1,170.43 / $2,180.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.17 / $1,331.43 / $2,830.14
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.96 / $1,702.52 / $1,872.66
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,606.42 / $16,352.10 / $31,187.56
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.68 / $1,289.58 / $2,012.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,682.00 / $9,969.00 / $19,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.30 / $1,156.90 / $2,636.06