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New Jersey rates for HCPCS 65286

Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.09 / $5,109.00 / $9,860.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.28 / $616.75 / $886.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.47 / $735.85 / $1,667.18
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.82 / $817.83 / $1,923.86
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,081.78 / $5,544.92 / $10,574.69
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.80 / $700.77 / $1,034.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,425.00 / $5,265.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.54 / $786.98 / $1,387.52