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Pennsylvania rates for HCPCS Q4164

Helicoll Per Sqaure Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.93 / $1,657.34 / $4,332.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.93 / $1,640.93 / $1,657.34
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,394.79 / $1,640.93 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.93 / $1,640.93 / $1,640.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,571.96 / $1,640.93 / $1,640.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.93 / $1,640.93 / $1,640.93
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,625.45 / $1,702.86 / $2,096.06
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.93 / $1,657.34 / $4,332.06
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.93 / $1,640.93 / $1,657.34
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.05 / $1,640.93 / $1,640.93
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,640.93 / $1,640.93 / $1,640.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,558.88 / $1,640.93 / $2,051.16