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Alaska rates for HCPCS Q4163

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.86 / $338.86 / $338.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.18 / $182.18 / $182.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $182.18 / $257.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.18 / $338.86 / $484.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $182.18 / $295.12
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.99 / $800.00 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.00 / $550.00 / $600.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.18 / $338.86 / $1,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $225.05 / $600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.27 / $273.27 / $546.54