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Nevada rates for HCPCS Q4194

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.63 / $717.78 / $723.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $663.63 / $729.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $1,020.00 / $1,020.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.63 / $663.63 / $663.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $663.63 / $663.63
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.38 / $222.92 / $1,000.00
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.38 / $127.38 / $127.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $663.63 / $663.63