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New Jersey rates for HCPCS 81504

Oncology Tissue Of Origin Similar Scor Algorithm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $1,684.80 / $3,235.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.00 / $431.60 / $494.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.30 / $1,146.11 / $2,382.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.70 / $539.42 / $1,115.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.00 / $546.00 / $754.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.00 / $13,785.00 / $13,785.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.40 / $312.00 / $530.40