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New Jersey rates for HCPCS A4652

Microcapillary tube sealant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $2.40
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $5.00 / $5.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $1.96 / $1.96