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New Jersey rates for HCPCS 40804

Rmvl Embedded Fb Vestibule Mouth Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.13 / $4,294.00 / $10,871.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.13 / $182.29 / $254.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.32 / $263.35 / $630.62
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.92 / $299.33 / $367.78
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.01 / $2,279.40 / $4,347.04
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.81 / $198.41 / $339.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,705.00 / $5,265.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.01 / $201.63 / $483.87