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Alaska rates for HCPCS Q4226

MyOwn Skin, includes harvesting and preparation procedures, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,944.00 / $1,944.00 / $1,944.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.00 / $1,224.00 / $1,224.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.00 / $1,224.00 / $1,224.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.49 / $1,944.00 / $2,721.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.44 / $502.44 / $676.36
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,016.00 / $2,304.00 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.00 / $1,584.00 / $1,728.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.49 / $1,944.00 / $2,880.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.00 / $1,440.00 / $1,728.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800.00 / $1,800.00 / $3,600.00