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Nationwide rates for HCPCS Q4142

XCM biologic tissue matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $117.49 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $117.49 / $138.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $269.15 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $40.74 / $125.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $169.82 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $158.49 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89