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New Jersey rates for HCPCS 40801

Drg Absc Cst Hmtma Vestibule Mouth Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.38 / $5,009.00 / $9,842.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.26 / $280.38 / $391.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.93 / $418.79 / $968.44
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.64 / $446.53 / $549.61
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.08 / $1,238.08 / $2,361.16
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.28 / $299.95 / $512.35
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
$202.37 / $359.90 / $929.95