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Indiana rates for HCPCS Q4135

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.00 / $26.00 / $26.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $26.00 / $26.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.39 / $98.39 / $189.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.39 / $98.39 / $135.77
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
$129.87 / $129.87 / $129.87