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Ohio rates for HCPCS Q4134

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.66 / $129.66 / $224.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.66 / $129.66 / $137.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $186.39 / $277.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.81 / $218.81 / $371.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $218.81 / $218.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.08 / $162.08 / $162.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $162.08 / $162.08
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.08 / $162.08 / $162.08
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $162.08 / $162.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $178.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $162.08 / $201.14