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Indiana rates for HCPCS Q4130

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.62 / $5.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $100.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $288.40 / $512.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $41.69 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $97.72 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89