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New Jersey rates for HCPCS 67250

Scleral Reinforcement Spx W/O Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.72 / $6,064.00 / $10,871.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.02 / $892.17 / $1,248.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.93 / $996.96 / $2,511.44
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.35 / $1,057.53 / $2,487.71
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,577.22 / $5,198.14 / $10,066.58
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.68 / $904.60 / $1,338.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,885.00 / $7,250.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.47 / $889.01 / $1,641.53