go back

New Jersey rates for HCPCS Q4152

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.72 / $50.72 / $50.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $51.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.71 / $61.22 / $98.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.71 / $50.71 / $52.63
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.84 / $50.72 / $83.72
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.62 / $8,702.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.28 / $54.62 / $54.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $54.84