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New Jersey rates for HCPCS Q4199

Cygnus matrix, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.15 / $111.15 / $111.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $111.15 / $112.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.15 / $371.42 / $480.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $111.15 / $125.83
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.48 / $111.15 / $164.89
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.42 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.83 / $332.42 / $335.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $111.15 / $126.98