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Ohio 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
$33.92 / $33.92 / $39.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $34.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $39.34 / $69.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $33.92 / $51.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $45.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.00 / $32.00 / $33.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $40.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.31 / $66.14 / $97.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $44.44