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Pennsylvania rates for HCPCS Q4185

Cellesta Flowable Amnion (25 mg per cc); per 0.5 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.62 / $588.62 / $588.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.62 / $588.62 / $700.46
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $967.00 / $967.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.33 / $781.33 / $781.33
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.62 / $588.62 / $588.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.62 / $588.62 / $700.46
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.33 / $781.33 / $781.33