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Alabama rates for HCPCS Q4209

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $117.49 / $141.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $125.89 / $125.89