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Nevada rates for HCPCS Q4117

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.81 / $23.81 / $24.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.95 / $23.81 / $24.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.91 / $16.91 / $24.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.39 / $24.39 / $24.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.39 / $24.39 / $24.39
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.39 / $24.39 / $179.61
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.38 / $127.38 / $191.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $28.69 / $28.69