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Alabama rates for HCPCS Q4141

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $93.33 / $125.89