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Indiana rates for HCPCS Q4182

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.76 / $37.76 / $37.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.76 / $37.76 / $38.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.76 / $40.11 / $44.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.51 / $66.51 / $86.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.51 / $79.81 / $99.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.11 / $40.11 / $40.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $40.11 / $40.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.33 / $39.33 / $47.20