go back

Louisiana rates for HCPCS Q4108

Integra Matrix Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.54 / $38.93 / $39.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.93 / $42.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.53 / $55.53 / $83.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.53 / $55.53 / $56.64
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.36 / $36.36 / $38.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $38.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.61 / $38.54 / $51.87