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Ohio rates for HCPCS Q4147

Architect, Architect PX, or Architect FX, extracellular matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.70 / $45.70 / $45.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.70 / $45.70 / $48.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.22 / $160.02 / $243.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.66 / $268.31 / $327.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.56 / $48.56 / $48.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.56 / $48.56 / $48.56
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.22 / $147.22 / $147.22
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.56 / $48.56 / $57.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $161.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.13 / $57.13 / $70.90