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Celera Dual Layer or Celera Dual Membrane

Pennsylvania rates for HCPCS Q4259

Celera Dual Layer or Celera Dual Membrane, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated October 2026.

How much does Celera Dual Layer or Celera Dual Membrane cost?

$708

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $708 for this service. The price depends on where it is billed: about $708 from a physician practice, and about $490 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$708$126 to $1,230
FacilityA hospital or hospital-owned outpatient department$490$182 to $1,230

How much rates vary

Facilitymedian $490 · 10th to 90th $145 to $1,318Professionalmedian $708 · 10th to 90th $126 to $1,318
$100$200$500$1K$2Kfacility $490professional $708

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$724.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$724.44
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$354.81
Median
$354.81
Typical High
$363.08
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$141.25
Median
$141.25
Typical High
$144.54
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$70.79
Median
$70.79
Typical High
$72.44
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,318.26
Typical High
$1,584.89
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,318.26
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$213.80
Typical High
$489.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$162.18
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$1,148.15
Typical High
$1,348.96
Geisinger
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$151.36
Typical High
$1,380.38
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$724.44
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$354.81
Median
$354.81
Typical High
$363.08
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$141.25
Median
$141.25
Typical High
$144.54
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$70.79
Median
$70.79
Typical High
$72.44
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,348.96
Typical High
$1,995.26
United
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$125.89
Typical High
$165.96

Where Pennsylvania sits

The same service costs 13.2 times more in Hawaii than in North Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 17th of 51

$708

HI $1,549NC $117

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.