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Nevada rates for HCPCS Q4247

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.38 / $1,417.38 / $3,054.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,944.00 / $3,054.40 / $3,128.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.75 / $488.75 / $530.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,128.00 / $3,128.00 / $3,128.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,128.00 / $3,128.00 / $3,128.00
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.89 / $3,128.00 / $3,680.00
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.38 / $127.38 / $191.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.00 / $3,200.00 / $3,200.00