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Nevada rates for HCPCS Q4180

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.12 / $715.18 / $1,090.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.12 / $656.12 / $721.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.02 / $226.02 / $1,090.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.12 / $656.12 / $656.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.12 / $656.12 / $656.12
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.61 / $711.83 / $1,668.00
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.38 / $127.38 / $127.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.12 / $656.12 / $656.12