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Delaware rates for HCPCS 15004

Prep Site F/S/N/H/F/G/M/D Gt 1st 100 Sq Cm/1pct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.02 / $1,974.50 / $14,719.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.47 / $339.52 / $350.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.06 / $366.85 / $530.01
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.31 / $1,280.31 / $1,280.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.01 / $406.57 / $922.02