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New Jersey rates for HCPCS Q4169

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,068.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,089.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.90 / $521.40 / $2,068.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,068.46
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,951.39 / $2,068.46 / $2,642.18
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,758.92 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.06 / $402.90 / $2,825.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,236.42