go back

New Jersey rates for HCPCS 43622

Gstrct Tot W/Frmj Intstinal Pouch Any Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,996.76 / $4,540.00 / $10,871.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,996.76 / $2,300.54 / $3,880.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,700.40 / $3,007.20 / $5,967.28
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,477.89 / $3,544.60 / $4,302.43
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,838.52 / $2,684.95 / $4,595.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,627.00 / $6,590.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,484.18 / $2,437.13 / $5,025.47