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Ohio rates for HCPCS Q4148

Neox Cord 1K, Neox Cord RT, or Clarix Cord 1K, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.80 / $123.80 / $649.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $127.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $141.37 / $240.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.80 / $123.80 / $210.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $167.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.79 / $116.79 / $123.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $223.59
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.50 / $229.50 / $229.50
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $207.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $141.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $159.21