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New Jersey rates for HCPCS Q4173

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.02 / $349.02 / $349.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.02 / $349.02 / $352.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.01 / $408.00 / $528.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.01 / $349.01 / $388.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.26 / $349.02 / $658.52
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.51 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.25 / $968.98 / $968.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.02 / $349.02 / $377.36