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New Jersey rates for HCPCS L8612

Aqueous Shunt (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.05 / $292.05 / $292.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.05 / $347.26 / $681.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.71 / $451.71 / $794.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.95 / $383.95 / $695.87
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.03 / $731.13 / $1,041.07
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.66 / $367.66 / $528.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.82 / $418.06 / $794.71