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Pennsylvania rates for HCPCS Q4140

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $2,754.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $218.78
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $371.54 / $467.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $173.78
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $295.12 / $295.12
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $162.18 / $218.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $2,754.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $223.87
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $218.78 / $245.47
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $75.86 / $186.21
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $75.86 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $190.55 / $426.58