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Cellesta or Cellesta Duo

Pennsylvania rates for HCPCS Q4184

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

Rates data updated October 2026.

How much does Cellesta or Cellesta Duo cost?

$126

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $457 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$126$81.28 to $490
FacilityA hospital or hospital-owned outpatient department$457$178 to $490

How much rates vary

Facilitymedian $457 · 10th to 90th $126 to $741Professionalmedian $126 · 10th to 90th $79 to $490
$100$1K$10Kfacility $457professional $126

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
$79.43
Median
$79.43
Typical High
$81.28
Aetna
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$81.28
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$39.81
Median
$39.81
Typical High
$40.74
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$15.85
Median
$15.85
Typical High
$16.22
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.94
Median
$7.94
Typical High
$8.13
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$436.52
Median
$489.78
Typical High
$5,011.87
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$489.78
Typical High
$489.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$213.80
Typical High
$489.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$151.36
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$426.58
Typical High
$501.19
Geisinger
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$144.54
Typical High
$208.93
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$81.28
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$39.81
Median
$39.81
Typical High
$40.74
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$15.85
Median
$15.85
Typical High
$16.22
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.94
Median
$7.94
Typical High
$8.13
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$645.65
Typical High
$977.24
United
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$125.89
Typical High
$165.96

Where Pennsylvania sits

The same service costs 7.2 times more in Hawaii than in Kentucky. 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· 23rd of 51

$126

HI $575KY $79.43

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.