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New Jersey rates for HCPCS Q4106

Dermagraft, per sq cm

Facilitymedian $9,550 · 10th–90th $100–$23,9880%5%10th90th$9,550Professionalmedian $45 · 10th–90th $45–$510%50%90th$45$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $57.54
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $9,772.37 / $23,988.33
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $63.10 / $63.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $52.48