go back

New Hampshire rates for HCPCS Q4139

AmnioMatrix or BioDMatrix, injectable, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,820.00 / $1,820.00 / $2,184.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.00 / $1,820.00 / $1,820.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.48 / $199.48 / $199.48
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $3,000.00 / $4,410.00