go back

Alaska rates for HCPCS Q4227

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $1,174.90 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,659.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $2,187.76 / $3,090.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $309.03 / $512.86
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $2,137.96 / $3,467.37
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,445.44 / $1,584.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $1,479.11 / $2,398.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $446.68 / $2,818.38