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New Jersey rates for HCPCS E1355

Stand/Rack (Special Coverage Instructions Apply. See Cim: 60-4)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.33 / $11.33 / $11.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.38 / $16.02 / $23.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.96 / $18.96 / $18.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.12 / $16.12 / $18.96
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.23 / $35.78 / $51.59
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.82 / $19.82 / $19.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.64 / $14.87 / $22.10