go back

Louisiana rates for HCPCS Q4178

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.41 / $90.30 / $92.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $90.30 / $98.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.23 / $101.23 / $151.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.23 / $101.23 / $103.25
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.35 / $84.35 / $89.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $89.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.62 / $89.41 / $120.33