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California rates for HCPCS Q4184

Cellesta Or Cellesta Duo Per Square Centimeter (Desc Rvsd 10/1/19)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.04 / $80.04 / $80.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $88.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.01 / $92.88 / $157.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $84.57 / $584.03
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.40 / $100.00 / $1,445.35
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.03 / $100.00 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.51 / $75.51 / $80.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $98.16
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.34 / $686.77 / $842.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.84 / $100.05 / $176.09
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.65 / $883.50 / $2,756.52
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,756.52 / $2,756.52 / $2,756.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $842.85 / $1,279.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.04 / $88.04 / $143.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $749.21
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.03 / $624.34 / $749.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $164.96