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New Jersey rates for HCPCS 64857

Sutr Prph Nrv Arm/Leg Xcp Sciatic W/O Trpos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.17 / $5,244.00 / $9,950.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.74 / $1,069.07 / $1,788.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.25 / $1,619.26 / $3,812.99
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.80 / $1,358.61 / $1,673.96
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,569.57 / $17,702.16 / $29,692.75
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.45 / $1,291.11 / $2,713.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,682.00 / $9,969.00 / $19,696.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.27 / $1,381.85 / $2,699.57