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Alaska rates for HCPCS Q4148

Neox Cord 1K, Neox Cord RT, or Clarix Cord 1K, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.27 / $230.27 / $230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.80 / $123.80 / $123.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $175.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.06 / $230.27 / $322.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $160.94
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.46 / $432.00 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.10 / $297.00 / $324.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.80 / $230.27 / $540.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $159.38 / $324.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.70 / $185.70 / $371.40