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Indiana rates for HCPCS Q4136

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.20 / $1.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $288.40 / $512.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $128.82 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89