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New Jersey rates for HCPCS Q4249

AMNIPLY, for topical use only, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,969.89 / $1,969.89 / $1,969.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.89 / $1,969.89 / $1,989.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.70 / $772.20 / $1,969.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.89 / $1,969.89 / $1,969.89
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,674.41 / $1,969.89 / $2,044.22
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,242.00 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.70 / $2,296.02 / $2,296.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.89 / $1,969.89 / $2,265.37