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Pennsylvania rates for HCPCS Q4222

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $145.49 / $336.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.49 / $145.49 / $146.94
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.20 / $145.49 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.49 / $145.49 / $145.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.49 / $145.49 / $145.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.49 / $145.49 / $150.97
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.67 / $145.49 / $185.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $145.49 / $336.73
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.49 / $145.49 / $146.94
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.25 / $145.49 / $145.49
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.49 / $145.49 / $164.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.49 / $145.49 / $200.92