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Pennsylvania rates for HCPCS Q4100

Skin Substitute, Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.89 / $248.76 / $4,872.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.65 / $38.59 / $147.40
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $967.00 / $967.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.40 / $125.40 / $125.40
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.53 / $345.27 / $1,578.58
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.89 / $248.76 / $14,916.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.65 / $35.70 / $2,673.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.40 / $125.40 / $125.40