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Pennsylvania rates for HCPCS Q4166

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $20.17 / $55.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $20.17
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.05 / $19.97 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $20.72
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.97 / $19.97 / $27.04
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $21.05 / $55.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $21.05
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.84 / $19.97 / $19.97
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $23.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $31.25