go back

New Jersey rates for HCPCS Q4178

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.41 / $89.41 / $89.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $90.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.41 / $162.56 / $210.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $101.22
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.57 / $89.41 / $126.53
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.03 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.47 / $92.03 / $92.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.94 / $89.41 / $96.67