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Indiana rates for HCPCS Q4170

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.71 / $39.71 / $41.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $41.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.31 / $39.31 / $75.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $55.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.31 / $39.31 / $60.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $47.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.31 / $39.31 / $39.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $170.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $58.97