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Pennsylvania rates for HCPCS Q4152

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.86 / $50.72 / $119.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $51.22
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.30 / $50.72 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $50.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.71 / $50.71 / $50.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.71 / $50.71 / $57.41
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.23 / $52.62 / $87.71
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.86 / $50.72 / $119.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $51.22
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.84 / $50.71 / $50.71
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.71 / $50.71 / $61.77
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.44 / $44.44 / $51.57
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.44 / $44.44 / $51.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $76.08