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New Jersey rates for HCPCS 66984

Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$931.16 / $5,215.00 / $10,460.00
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$140.90 / $140.90 / $159.38
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$528.39 / $528.39 / $597.71
Aetna
Facility/Professional
Facility
Modifier
55
Low / Median / High Price
$105.68 / $105.68 / $119.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.13 / $664.79 / $1,021.55
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$269.57 / $329.31 / $510.78
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$404.35 / $493.96 / $766.16
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$80.87 / $98.79 / $153.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.98 / $542.49 / $1,001.96
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,253.00 / $8,478.12 / $15,994.00
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.32 / $829.37 / $2,225.28
AmeriHealth
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$253.73 / $253.73 / $253.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.41 / $824.00 / $1,845.98
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.03 / $646.00 / $845.81
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,017.54 / $5,340.39 / $12,024.06
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.27 / $664.50 / $1,125.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,595.00 / $5,803.00 / $10,105.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.59 / $638.07 / $1,167.00