go back

Iowa rates for HCPCS Q4249

Amniply, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.89 / $1,969.89 / $1,989.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.01 / $612.51 / $1,969.89
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.47 / $1,969.89 / $3,565.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,789.55 / $2,701.20 / $3,042.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,789.55 / $1,789.55 / $3,579.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.51 / $2,147.44 / $2,147.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.51 / $612.51 / $2,147.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,969.89 / $1,969.89 / $2,089.86
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,789.55 / $1,789.55 / $1,789.55
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,413.74 / $1,789.55 / $1,789.55