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Indiana rates for HCPCS Q4186

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.84 / $152.68 / $1,737.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.16 / $151.16 / $158.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.16 / $178.26 / $291.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.16 / $151.16 / $214.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.16 / $151.16 / $226.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.16 / $151.16 / $181.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.16 / $151.16 / $151.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.16 / $151.16 / $204.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.16 / $151.16 / $256.99