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Ohio rates for HCPCS Q4153

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.93 / $137.93 / $326.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $142.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $158.61 / $268.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.93 / $137.93 / $208.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.12 / $130.12 / $137.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $137.93
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.08 / $128.08 / $128.08
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $162.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.46 / $151.72 / $179.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $137.93 / $179.58