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New Jersey rates for HCPCS Q4128

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.91 / $9,229.32 / $18,294.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $30.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.91 / $35.90 / $46.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $29.91
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.63 / $29.91 / $36.97
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.47 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.47 / $27.20 / $30.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $31.60