go back

Louisiana rates for HCPCS Q4181

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

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.59 / $163.59 / $245.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.59 / $163.59 / $166.86
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.61 / $199.56 / $220.01