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New Jersey rates for HCPCS Q4187

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.30 / $245.30 / $245.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $247.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.30 / $283.02 / $366.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $277.24
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.42 / $245.30 / $313.33
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.02 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.58 / $247.02 / $248.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $265.22