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Pennsylvania rates for HCPCS Q4135

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $154.88 / $186.21
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $199.53 / $263.03
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $158.49 / $208.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $43.65
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $64.57
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $194.98 / $245.47
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $10.00 / $123.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $8.51 / $123.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $125.89 / $141.25