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New Jersey rates for HCPCS A4563

Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.20 / $81.20 / $81.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $81.20 / $1,357.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $120.00 / $120.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $102.00 / $125.77
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.49 / $1,768.95 / $2,106.66
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.84 / $100.84 / $100.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.12 / $75.63 / $964.88