go back

West Virginia rates for HCPCS Q4229

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.22 / $465.97 / $465.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $465.97 / $484.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.36 / $461.36 / $692.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $1,069.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.24 / $1,417.80 / $1,417.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $461.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $1,667.22