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Pennsylvania rates for HCPCS Q4116

Alloderm Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.44 / $56,247.94 / $75,246.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.89 / $26.44 / $26.44
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.56 / $31.11 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $31.11 / $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 / $32.29
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.29 / $33.75 / $38.92
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.07 / $217.03 / $683.42
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.44 / $15,107.54 / $81,293.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.89 / $26.44 / $31.46
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $52.10 / $62.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.11 / $31.11 / $31.11
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $31.11 / $32.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $31.11 / $40.60