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New Jersey rates for HCPCS Q4156

Neox 100 or Clarix 100, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.87 / $65.88 / $65.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $66.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.88 / $153.00 / $198.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $74.58
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.29 / $65.88 / $124.30
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.75 / $8,702.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.75 / $64.75 / $153.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $72.47