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New Jersey rates for HCPCS Q4208

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.20 / $398.40 / $408.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.00 / $489.60 / $633.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.00 / $340.00 / $340.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.00 / $340.00 / $340.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.00 / $480.00 / $506.40