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Nevada 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
$8,912.51 / $15,848.93 / $42,657.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $25.12 / $25.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $162.18 / $223.87
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $128.82 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $125.89 / $125.89