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New Jersey rates for HCPCS Q4161

bio-ConneKt wound matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $1,590.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $1,606.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.91 / $192.72 / $1,590.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $1,800.61
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,575.54 / $1,590.54 / $2,625.89
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,853.66 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.82 / $1,853.66 / $1,853.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $1,908.65