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Indiana rates for HCPCS Q4152

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.86 / $51.22 / $51.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $51.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.72 / $50.72 / $97.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $72.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.72 / $50.72 / $76.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $60.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.71 / $50.71 / $50.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.71 / $50.71 / $97.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $67.75