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New Jersey rates for HCPCS A2009

Symphony, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $67.61 / $102.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $186.21 / $245.47
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $426.58 / $562.34
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $79.43 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $114.82 / $125.89