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Indiana rates for HCPCS Q4193

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.05 / $1,407.05 / $1,730.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,393.12 / $1,393.12 / $1,532.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,393.12 / $1,393.12 / $2,688.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,393.12 / $1,393.12 / $1,978.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,393.12 / $1,393.12 / $2,089.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,393.12 / $1,393.12 / $1,671.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,393.12 / $1,393.12 / $1,393.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,393.12 / $1,393.12 / $1,393.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,393.12 / $1,393.12 / $1,860.93