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Pennsylvania rates for HCPCS Q4210

Axolotl Graft or Axolotl DualGraft, per sq cm

Facilitymedian $851 · 10th–90th $724–$5,0120%50%10th90th$851Professionalmedian $851 · 10th–90th $741–$8510%50%10th$851$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $851.14 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $1,096.48
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $2,754.23 / $2,754.23
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $851.14 / $912.01