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Nationwide rates for HCPCS Q4103

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.59 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $15.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $15.85 / $72.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.59 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $12.59 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $12.59 / $15.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $16.60 / $24.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $16.22 / $125.89