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New Jersey rates for HCPCS 75901

Mechanical Rmvl Pericatheter Obstr Matrl Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.69 / $19.69 / $97.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.68 / $170.92 / $244.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.82 / $276.64 / $464.60
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.76 / $225.70 / $313.18
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.22 / $221.95 / $329.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.84 / $201.03 / $378.62