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Indiana rates for HCPCS Q4146

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.00 / $358.00 / $358.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.07 / $41.07 / $79.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.96 / $41.07 / $56.67
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
$54.21 / $54.21 / $54.21