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Nationwide rates for HCPCS Q4253

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $107.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $95.50 / $380.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $100.00 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $75.86 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $93.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $104.71 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $125.89 / $954.99