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New Jersey rates for HCPCS 90997

Hemoperfusion (eg, with activated charcoal or resin)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.42 / $95.42 / $153.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.39 / $90.72 / $110.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.09 / $116.84 / $195.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.78 / $117.63 / $166.81
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.79 / $103.15 / $179.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.62 / $96.48 / $168.10