go back

Washington rates for HCPCS Q4176

Neopatch Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.50 / $161.50 / $161.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.00 / $161.50 / $161.50
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.69 / $180.50 / $712.50
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.06 / $722.00 / $855.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.50 / $161.50 / $323.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.50 / $161.50 / $161.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.46 / $165.46 / $165.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.92 / $65.92 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.69 / $157.69 / $161.50
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.30 / $161.50 / $171.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.51 / $167.51 / $201.01
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.92 / $65.92 / $65.92