go back

West Virginia rates for HCPCS Q4121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.20 / $53.28 / $53.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $53.28 / $55.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.75 / $52.75 / $79.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $122.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.77 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $52.75
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,741.46 / $8,741.46 / $8,741.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $55.39