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Nationwide rates for HCPCS Q4209

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $120.23 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $120.23 / $151.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $295.12 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $97.72 / $181.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $169.82 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $158.49 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89