go back

Iowa rates for HCPCS Q4153

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $139.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.50 / $159.88 / $197.24
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $187.95 / $321.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.02 / $153.69 / $302.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.60 / $108.60 / $305.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.32 / $159.88 / $349.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.69 / $192.94 / $349.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $151.72
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.60 / $108.60 / $108.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.79 / $108.60 / $108.60