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Ohio rates for HCPCS Q4169

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.00 / $2,068.46 / $2,068.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,130.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,378.73 / $4,016.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $3,123.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,792.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,951.39 / $1,951.39 / $2,068.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,927.08
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,825.40 / $2,825.40 / $2,825.40
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $3,324.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.66 / $2,275.31 / $2,886.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,660.05