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Nevada 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
$549.54 / $549.54 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $645.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $549.54 / $2,137.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,290.87 / $2,290.87
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $128.82 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $194.98 / $2,691.53