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New Jersey rates for HCPCS 40702

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 2 Stgs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,132.80 / $6,064.00 / $10,871.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.92 / $962.73 / $2,037.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.67 / $1,107.56 / $2,323.90
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.35 / $1,433.30 / $1,577.19
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,606.42 / $14,382.16 / $31,187.56
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.04 / $1,079.53 / $1,686.49
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
$629.04 / $995.33 / $2,338.62