go back

Louisiana rates for HCPCS Q4160

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,784.38 / $2,812.22 / $2,867.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.38 / $2,784.38 / $3,062.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.92 / $101.92 / $152.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.92 / $101.92 / $103.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,626.77 / $2,626.77 / $2,784.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.38 / $2,784.38 / $2,784.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,645.61 / $2,784.38 / $3,396.94