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New Jersey rates for HCPCS Q4140

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.62 / $161.62 / $161.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $163.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.62 / $364.34 / $471.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $182.97
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $266.83
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.92 / $8,702.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.81 / $171.81 / $281.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.16 / $161.62 / $177.78