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New Jersey rates for HCPCS Q4188

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

Facilitymedian $3,981 · 10th–90th $209–$23,9880%10%10th90th$3,981Professionalmedian $490 · 10th–90th $135–$5370%50%10th90th$490$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $575.44 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $707.95 / $831.76
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $11,481.54 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $489.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $1,380.38 / $1,380.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $141.25 / $831.76