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New Jersey rates for HCPCS Q4138

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.11 / $98.11 / $98.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $99.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.11 / $240.04 / $310.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $111.06
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.10 / $98.11 / $161.96
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.26 / $8,702.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.57 / $93.57 / $240.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $107.92