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Nevada 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
$125.89 / $125.89 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $125.89 / $138.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $125.89 / $125.89
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $128.82 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $128.82