go back

Ohio rates for HCPCS Q4121

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.75 / $52.75 / $61.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $54.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $61.19 / $102.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.75 / $52.75 / $79.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $71.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.77 / $49.77 / $52.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $52.75
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.39 / $72.20 / $96.93
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $52.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.79 / $62.14 / $75.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $65.45