go back

Ohio rates for HCPCS Q4170

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.31 / $39.31 / $112.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $40.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $45.20 / $76.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.31 / $39.31 / $66.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $53.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.09 / $37.09 / $39.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $81.11
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.00 / $969.00 / $969.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $68.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.55 / $54.01 / $171.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $50.55