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Ohio 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
$50.72 / $50.72 / $64.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $52.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $58.83 / $105.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.72 / $50.72 / $86.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $68.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.84 / $47.84 / $50.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.71 / $50.71 / $74.88
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.75 / $97.75 / $97.75
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.71 / $50.71 / $74.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $60.08 / $73.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $65.23