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New Jersey rates for HCPCS Q2004

Bladder Calculi Irrig Sol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.22 / $126.96 / $241.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.79 / $100.79 / $103.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.82 / $11.82 / $11.82
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.00 / $273.42 / $618.65
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.43 / $25.43 / $25.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.19 / $101.19 / $121.43