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Alaska rates for HCPCS Q4118

MatriStem micromatrix, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $4.73 / $4.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $3.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.56 / $4.73 / $6.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $4.46
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.84 / $6.14 / $13.48
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $4.22 / $4.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $4.73 / $8.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $3.18 / $5.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $3.81 / $7.62