go back

Indiana rates for HCPCS Q4118

MatriStem micromatrix, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.57 / $2.57 / $2.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.54 / $4.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $3.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.54 / $3.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $3.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $3.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $3.39