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California rates for HCPCS Q4100

Skin substitute, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.65 / $8,869.75 / $49,772.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.65 / $34.65 / $2,673.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.26 / $58.02 / $98.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.61 / $14.12 / $99,999.99
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.09 / $79.00 / $91.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.40 / $125.40 / $125.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.00 / $638.07 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.65 / $38.59 / $86.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.40 / $125.40 / $125.40