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Pennsylvania 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
$408.00 / $408.00 / $408.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.00 / $408.00 / $408.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.34 / $398.66 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.66 / $398.66 / $398.66
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.00 / $340.00 / $340.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.00 / $408.00 / $408.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.00 / $480.00 / $626.40