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Pennsylvania rates for HCPCS A2004

XCelliStem, 1 mg

Facilitymedian $22 · 10th–90th $13–$26,3030%20%40%10th90th$22Professionalmedian $13 · 10th–90th $12–$130%20%40%10th90th$13$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $26,302.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $46.77 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.18
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $13.18 / $13.18
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.88
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $12.88 / $15.49