go back

Rhode Island rates for HCPCS Q4156

Neox 100 or Clarix 100, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.52 / $68.52 / $68.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $68.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.15 / $65.88 / $65.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $65.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $65.88