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Pennsylvania rates for HCPCS Q4252

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $53.53 / $139.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $53.00 / $53.53
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.05 / $53.00 / $79.50
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $53.00 / $53.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $53.00 / $53.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $53.00 / $57.50
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.05 / $53.00 / $67.70
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $53.53 / $139.91
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $53.00 / $53.53
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $53.00 / $53.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $53.00 / $67.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.72 / $175.72 / $203.90
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.72 / $175.72 / $203.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $53.00 / $91.35