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New Jersey rates for HCPCS Q4225

AmnioBind or DermaBind TL, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,427.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,441.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.65 / $1,427.45 / $1,427.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,615.98
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,346.65 / $1,427.45 / $1,823.36
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,387.09 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,387.09 / $1,387.09 / $19,805.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,388.05 / $1,427.45 / $1,543.36