go back

Texas rates for HCPCS Q4162

Woundex Flow Bioskin Flow 0.5 Cc (Desc Revised 1/1/2018)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $1,804.00 / $1,804.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,760.00 / $1,804.00 / $1,870.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.18 / $8.18 / $8.18
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,870.00 / $1,870.00 / $1,870.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,870.00 / $1,870.00 / $1,870.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,346.25 / $4,400.00 / $8,250.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,360.00 / $8,360.00 / $9,900.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,795.20 / $2,200.00 / $3,824.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,804.00 / $2,200.00 / $3,824.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,870.00 / $1,870.00 / $1,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,200.00 / $2,200.00 / $2,244.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.00 / $1,496.00 / $2,019.60