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New Jersey rates for HCPCS 83992

Phencyclidine (PCP)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $144.54 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $30.20 / $158.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $28.84 / $30.90
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $79.43 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $14.13 / $28.84
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $16.60 / $16.60
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $10,471.29 / $25,703.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $17.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $37.15 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $21.38 / $36.31