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New Jersey rates for HCPCS 43640

Vgtmy W/Pylorplsty W/Wo Gastrost Truncal/Slctv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.75 / $4,540.00 / $10,871.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.75 / $1,176.84 / $1,996.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.20 / $1,540.71 / $3,065.16
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,285.30 / $1,848.65 / $2,235.42
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.45 / $1,359.68 / $2,331.42
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
$778.81 / $1,270.33 / $2,596.05