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Biovance

Wisconsin rates for HCPCS Q4154

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

Rates data updated July 2026.

Facilitymedian $204 · 10th–90th $132$6170%20%40%10th90th$204Professionalmedian $145 · 10th–90th $126$3800%50%10th90th$145$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$134.90
Typical High
$158.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$251.19
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$380.19
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$169.82
Typical High
$295.12
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$134.90
Typical High
$295.12
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$147.91
Typical High
$380.19
Medica
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$457.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$64.57
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$158.49
Typical High
$158.49
Network Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$151.36
Typical High
$245.47
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$134.90
Typical High
$295.12
Quartz
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$302.00
Typical High
$446.68
Quartz
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$707.95
Quartz
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$173.78
Typical High
$2,290.87
Security Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$165.96