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Alabama rates for HCPCS Q4154

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $144.54 / $371.54