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Pennsylvania rates for HCPCS Q4235

Amniorepair or altiply, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.29 / $87.98 / $212.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $87.98 / $88.86
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.78 / $87.98 / $131.97
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $87.98 / $87.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.98 / $87.98 / $87.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $87.98 / $87.98
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.78 / $87.98 / $112.38
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.29 / $87.98 / $212.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $87.98 / $88.86
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.00 / $87.98 / $87.98
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $87.98 / $91.30
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.55 / $150.55 / $174.69
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.55 / $150.55 / $174.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $87.98 / $114.81