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New Jersey rates for HCPCS V2628

Fabrication and fitting of ocular conformer

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.77 / $278.06 / $375.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.28 / $175.28 / $175.28
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.46 / $408.00 / $500.73
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.55 / $240.55 / $240.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.49 / $196.92 / $222.55