go back

West Virginia rates for HCPCS Q4155

Neox Flo or Clarix Flo 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.12 / $19.12 / $26.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.62 / $39.93 / $39.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $26.62 / $32.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $42.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $26.62 / $34.10