go back

Iowa rates for HCPCS Q4141

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.05 / $112.05 / $112.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $106.97 / $112.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.59 / $48.23 / $116.76
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $106.97 / $193.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.38 / $77.70 / $117.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.98 / $64.75 / $129.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.30 / $49.38 / $77.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.44 / $49.38 / $116.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $106.97 / $139.16
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.75 / $64.75 / $64.75
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.15 / $64.75 / $64.75