go back

Arkansas rates for HCPCS Q4175

MiroDerm Bio Matrix Fenestrat EX SHEE 2X2CM

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.85 / $109.85 / $109.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $96.12 / $109.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.45 / $73.45 / $73.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.14 / $73.45 / $73.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.36 / $91.54 / $91.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $91.54 / $99.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.39 / $91.54 / $104.36