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New Jersey rates for HCPCS Q4110

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.41 / $65.41 / $65.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.41 / $65.41 / $66.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.25 / $61.70 / $65.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.40 / $65.40 / $74.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.40 / $65.41 / $94.93
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,165.00 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.37 / $65.41 / $65.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.41 / $65.41 / $74.72