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Nationwide rates for HCPCS Q4204

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $3,715.35 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $4,073.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $4,570.88 / $10,715.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $3,715.35 / $5,128.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,715.35 / $5,623.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $3,715.35 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $3,890.45 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $2,754.23 / $2,951.21