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New Jersey rates for HCPCS A4673

Extension line with easy lock connectors, used with dialysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $7.41