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Nationwide rates for HCPCS Q4122

DermACELL, DermACELL AWM or DermACELL AWM Porous, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $263.03 / $45,708.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $100.00 / $120.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $131.83 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $109.65 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $102.33 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $147.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $162.18 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $114.82 / $125.89