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Ohio rates for HCPCS Q4100

Skin substitute, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,685.39 / $9,285.23 / $18,570.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.74 / $38.59 / $2,673.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.61 / $15.13 / $26.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.41 / $64.41 / $78.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.40 / $125.40 / $125.40
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,998.74 / $4,998.74 / $12,009.19
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.40 / $125.40 / $125.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $60.00