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New Jersey rates for HCPCS 64484

Njx Aa&/Strd Tfrml Epi Lumbar/Sacral Ea Addl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.55 / $1,672.48 / $6,153.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,993.50 / $2,086.88 / $3,051.50
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$12.82 / $17.10 / $28.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.43 / $91.09 / $149.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.18 / $115.18 / $115.18
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.43 / $1,224.43 / $1,224.43
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.36 / $716.80 / $768.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $117.68 / $307.95
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.43 / $168.97 / $174.71
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.03 / $102.94 / $213.01
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
$89.89 / $146.08 / $295.83