go back

California rates for HCPCS Q4251

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.40 / $149.40 / $149.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.00 / $149.40 / $153.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.13 / $144.00 / $171.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.00 / $393.93 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.00 / $360.00 / $675.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.00 / $684.00 / $810.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.40 / $180.00 / $180.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $225.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $180.00 / $328.23