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Nationwide rates for HCPCS Q4101

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $426.58 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $79.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $38.02 / $165.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $45.71 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $30.20 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $38.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $50.12 / $102.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $52.48 / $125.89