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New Jersey rates for HCPCS Q4247

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,128.00 / $3,128.00 / $3,128.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,539.19 / $3,054.40 / $3,128.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.50 / $803.00 / $3,128.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,128.00 / $3,128.00 / $3,128.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $3,128.00 / $3,128.00
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
$488.75 / $488.75 / $530.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,200.00 / $3,200.00 / $3,459.84