go back

Indiana rates for HCPCS Q4143

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.26 / $34.26 / $34.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $34.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $33.92 / $65.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $48.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $33.92 / $50.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $40.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $36.33