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Ohio rates for HCPCS Q4184

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.04 / $80.04 / $800.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $82.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $92.84 / $165.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.04 / $80.04 / $136.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $108.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.51 / $75.51 / $80.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $247.35
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.34 / $624.34 / $624.34
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $131.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $88.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.04 / $80.04 / $102.93