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Pennsylvania rates for HCPCS Q4210

Axolotl Graft or Axolotl DualGraft, per sq cm

Insurance Carrier
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.94 / $848.00 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.00 / $848.00 / $848.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.64 / $915.84 / $1,097.28
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.64 / $915.84 / $1,097.28