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Pennsylvania rates for HCPCS Q4118

Matristem Micromatrix 1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.58 / $6.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.57
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.17 / $2.54 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
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 / $2.74
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.64 / $3.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.58 / $6.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $3.07
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.54 / $2.54
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.90
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $4.38