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Alabama rates for HCPCS Q4248

Dermacyte amniotic membrane allograft, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.20 / $555.20 / $555.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.20 / $555.20 / $666.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.20 / $555.20 / $555.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.20 / $555.20 / $555.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.68 / $555.20 / $566.29