go back

Iowa rates for HCPCS Q4130

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $12.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $245.47 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $181.97
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $199.53 / $275.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $7.41 / $51.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $257.04 / $302.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $131.83