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Nevada rates for HCPCS Q4188

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $537.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $831.76 / $831.76
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $128.82 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $223.87 / $977.24