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California rates for HCPCS Q4208

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.40 / $398.40 / $398.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.00 / $398.40 / $408.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.00 / $408.00 / $456.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.00 / $153.00 / $638.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.00 / $960.00 / $1,800.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,824.00 / $1,824.00 / $2,160.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $85.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.40 / $480.00 / $480.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.00 / $480.00 / $911.42