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New Jersey rates for HCPCS 63704

Repair Myelomeningocele < 5 Cm Diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,546.02 / $5,695.00 / $10,871.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,341.27 / $1,688.14 / $2,507.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,616.88 / $2,558.48 / $5,974.18
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,600.94 / $2,211.10 / $2,851.27
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,472.25 / $1,954.19 / $4,212.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,846.00 / $7,273.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.01 / $2,261.64 / $4,199.27