go back

Indiana rates for HCPCS Q4118

MatriStem micromatrix, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.09 / $3.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $3.16 / $4.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.51 / $4.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $3.80 / $5.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $2.51 / $2.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.51 / $3.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $3.24 / $3.24