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New Jersey rates for HCPCS Q4254

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.88 / $355.88 / $355.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.88 / $355.88 / $391.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.00 / $416.64 / $539.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.80 / $408.00 / $408.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,628.00 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.00 / $480.00 / $506.40