go back

Pennsylvania rates for HCPCS Q4192

Restorigin, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,480.00 / $2,480.00 / $2,480.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $967.00 / $967.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,799.03 / $2,116.50 / $2,116.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,480.00 / $2,480.00 / $2,480.00