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Indiana rates for HCPCS Q4130

Strattice Tm Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.66 / $5.66 / $5.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.66 / $5.66 / $25.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.21 / $40.21 / $77.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.21 / $40.21 / $55.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.41 / $64.41 / $83.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.41 / $77.29 / $96.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.08 / $53.08 / $53.08