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California rates for HCPCS Q4130

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $8,511.38 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $100.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $41.69 / $125.89
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $1.23 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $186.21
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $199.53 / $239.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $173.78 / $269.15
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $165.96 / $245.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $204.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $177.83