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New Jersey rates for HCPCS Q4164

Helicoll Per Sqaure Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.93 / $1,640.93 / $1,640.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.93 / $1,640.93 / $1,657.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,004.70 / $1,300.20 / $1,640.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.93 / $1,640.93 / $1,640.93
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,394.79 / $1,640.93 / $2,096.06
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.14 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.00 / $1,326.00 / $1,337.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,550.68 / $1,640.93 / $1,731.18