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New Jersey rates for HCPCS Q4147

Architect, Architect PX, or Architect FX, extracellular matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.56 / $48.56 / $48.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.42 / $47.42 / $48.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.28 / $48.56 / $53.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.56 / $48.56 / $48.56
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.22 / $1,338.75 / $1,338.75
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,165.00 / $3,243.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.56 / $48.56 / $147.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.58 / $207.58 / $207.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.13 / $57.13 / $60.27