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Nationwide rates for HCPCS Q4104

Integra Bilayer Matrix Wound Dressing (Bmwd) Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.00 / $53.04 / $55.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.00 / $51.00 / $53.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.00 / $51.00 / $98.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.00 / $51.00 / $53.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.12 / $51.00 / $51.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.00 / $51.00 / $56.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.39 / $51.00 / $58.14