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New Jersey rates for HCPCS 88304

Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity

Facilitymedian $16,218 · 10th–90th $13,804$19,4980%50%10th90th$16,218Professionalmedian $32 · 10th–90th $9$910%10%10th90th$32$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $41.69 / $151.36
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.94 / $23.44 / $72.44
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$19.50 / $28.18 / $53.70
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$18.20 / $18.20 / $19.05
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $97.72 / $109.65
AmeriHealth
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $17.78 / $30.20
AmeriHealth
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $81.28 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $37.15 / $91.20
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.89 / $10.72 / $22.39
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$17.38 / $30.90 / $67.61
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $51.29 / $85.11
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.76 / $12.30 / $46.77
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$23.44 / $38.90 / $58.88
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $16,218.10 / $19,498.45
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $54.95 / $114.82
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.76 / $12.88 / $21.38
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$21.38 / $33.88 / $81.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $33.88 / $74.13
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.13 / $9.77 / $18.20
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$15.49 / $27.54 / $56.23