go back

Louisiana rates for HCPCS Q4201

Matrion 1 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.09 / $76.84 / $78.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $76.84 / $83.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.99 / $94.99 / $142.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.99 / $94.99 / $96.89
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.78 / $71.78 / $76.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $76.09 / $76.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.35 / $105.35 / $105.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.30 / $76.09 / $95.11