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New Jersey rates for HCPCS Q4166

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.96 / $19.97 / $19.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $20.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $20.09 / $26.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $22.38
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.97 / $19.97 / $26.62
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.50 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.55 / $21.49 / $21.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $21.59