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Nationwide rates for HCPCS Q4157

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $173.78 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $173.78 / $181.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $223.87 / $524.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $190.55 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $269.15 / $691.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $190.55 / $204.17