go back

Pennsylvania 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
$153.00 / $153.00 / $153.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.00 / $153.00 / $153.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.54 / $149.40 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.40 / $149.40 / $149.40
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.05 / $153.00 / $153.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.00 / $153.00 / $153.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $180.00 / $225.00