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Indiana rates for HCPCS Q4140

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $186.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $295.12 / $512.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $263.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $239.88 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $204.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $169.82 / $371.54