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New Jersey rates for HCPCS Q4139

AmnioMatrix or BioDMatrix, injectable, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,820.00 / $1,820.00 / $1,820.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.00 / $1,820.00 / $1,820.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $462.60 / $675.90
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.00 / $600.00 / $600.00