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Nationwide rates for HCPCS Q4107

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $100.00 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $83.18 / $100.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $109.65 / $275.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $95.50 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $114.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $181.97 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $138.04 / $138.04