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Nevada rates for HCPCS Q4124

OASIS ultra tri-layer wound matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.51 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $2.51 / $2.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.51 / $2.51
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $15.14
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $128.82 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $22.91 / $125.89