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Pennsylvania rates for HCPCS Q4127

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.48 / $69.17 / $180.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $68.48 / $69.17
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.47 / $68.48 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $68.48 / $68.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.48 / $68.48 / $68.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $68.48 / $68.48
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.22 / $68.48 / $87.48
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.48 / $69.17 / $180.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $68.48 / $82.31
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.61 / $68.48 / $68.48
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $68.48 / $70.48
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.31 / $77.31 / $89.71
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.31 / $77.31 / $89.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.06 / $68.48 / $85.84