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Indiana rates for HCPCS Q4176

Neopatch Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.00 / $152.00 / $152.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.00 / $152.00 / $153.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.92 / $65.92 / $127.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.92 / $65.92 / $93.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.41 / $66.51 / $103.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.51 / $66.51 / $79.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.50 / $161.50 / $161.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.50 / $161.50 / $161.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.51 / $167.51 / $180.91