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Delaware rates for HCPCS Q4116

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.44 / $22,722.75 / $54,952.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.89 / $26.44 / $31.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.11 / $31.11 / $31.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $31.11 / $31.11
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,827.04 / $20,827.04 / $28,773.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.44 / $31.11 / $50.42