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New Jersey rates for HCPCS 40800

Drg Absc Cst Hmtma Vestibule Mouth Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.02 / $2,121.00 / $9,950.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.02 / $184.84 / $267.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.60 / $276.80 / $631.65
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.54 / $308.95 / $380.17
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,426.00 / $1,710.56 / $3,474.07
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.59 / $211.21 / $359.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,354.00 / $3,961.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.88 / $215.09 / $515.09