go back

West Virginia 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
$65.18 / $90.30 / $90.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $90.30 / $93.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.41 / $89.41 / $134.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $207.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.35 / $191.25 / $191.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $89.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.73 / $89.41 / $225.11