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Pennsylvania rates for HCPCS Q4113

Graftjacket Xpress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.00 / $762.88 / $762.88
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,409.23 / $1,657.92 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,657.92 / $1,657.92 / $1,657.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.00 / $935.00 / $1,245.07
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.88 / $762.88 / $1,289.27
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.00 / $762.88 / $907.83
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.40 / $663.00 / $765.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,997.50 / $1,997.50 / $2,758.55