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NuShield

Pennsylvania rates for HCPCS Q4160

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

Rates data updated October 2026.

How much does NuShield cost?

$2,754

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $2,754 for this service. The price depends on where it is billed: about $2,754 from a physician practice, and about $204 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,754$126 to $3,162
FacilityA hospital or hospital-owned outpatient department$204$166 to $479

How much rates vary

Facilitymedian $204 · 10th to 90th $126 to $3,467Professionalmedian $2,754 · 10th to 90th $126 to $3,467
$100$200$500$1K$2K$5Kfacility $204professional $2,754

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$416.87
Median
$416.87
Typical High
$426.58
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$275.42
Median
$275.42
Typical High
$281.84
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$3,090.30
Median
$3,467.37
Typical High
$5,248.07
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$3,162.28
Median
$3,467.37
Typical High
$3,467.37
Cigna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$181.97
Typical High
$478.63
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$162.18
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$3,019.95
Typical High
$3,548.13
Geisinger
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$138.04
Typical High
$229.09
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,818.38
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,412.54
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$416.87
Median
$416.87
Typical High
$426.58
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$275.42
Median
$275.42
Typical High
$281.84
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$147.91
Typical High
$645.65
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$93.33
Median
$194.98
Typical High
$309.03
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$109.65
Typical High
$109.65
United
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$125.89
Typical High
$165.96

Where Pennsylvania sits

The same service costs 37.2 times more in Wyoming than in North Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 5th of 51

$2,754

WY $3,548NC $95.50

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.