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Pennsylvania rates for HCPCS Q4234

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.78 / $553.94 / $559.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $559.47
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.89 / $553.92 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.92 / $553.92 / $553.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.94 / $553.94 / $553.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $553.94
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.85 / $553.94 / $707.57
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.78 / $514.35 / $553.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.17 / $553.94 / $559.47
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.58 / $553.94 / $553.94
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $600.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $830.91