go back

Washington rates for HCPCS Q4170

Cygnus Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.24 / $43.24 / $43.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $43.24 / $45.29
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.31 / $969.00 / $1,710.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $3,990.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.09 / $37.09 / $889.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $48.21
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.31 / $39.31 / $53.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $53.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $75.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.31 / $41.55 / $86.24
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$946.20 / $946.20 / $969.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.80 / $969.00 / $1,026.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.31 / $39.31 / $39.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.34 / $39.31 / $39.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $47.17
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $131.94