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New Jersey rates for HCPCS A6025

Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $12.02 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $13.49
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $29.51
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $15.85 / $26.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.02 / $22.39