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New Jersey rates for HCPCS Q4210

Axolotl Graft or Axolotl DualGraft, per sq cm

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $1,096.48
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $12,589.25 / $25,703.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $851.14 / $954.99