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Ohio rates for HCPCS Q4163

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $213.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $194.98 / $338.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $257.04
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $181.97
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $309.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $117.49 / $234.42
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $144.54 / $158.49
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $144.54 / $269.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $181.97 / $501.19