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New Jersey rates for HCPCS Q4219

Surgigraft-Dual Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $1,020.00 / $1,020.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.00 / $996.00 / $1,020.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.71 / $110.92 / $1,020.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.00 / $1,020.00 / $1,020.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.49 / $849.99 / $849.99
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,702.00 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.24 / $849.99 / $849.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.99 / $788.99 / $833.65