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Nationwide rates for HCPCS Q4248

Dermacyte Amniotic Membrane Allograft, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $549.54 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $691.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $691.83 / $1,778.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $549.54 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $549.54 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,715.35 / $5,495.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $2,290.87 / $2,818.38