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Ohio 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
$1,393.12 / $1,393.12 / $2,084.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,393.12 / $1,393.12 / $1,434.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,393.12 / $1,616.01 / $2,758.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,393.12 / $1,393.12 / $2,103.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,393.12 / $1,393.12 / $1,880.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.26 / $1,314.26 / $1,393.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,393.12 / $1,393.12 / $1,971.40
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,989.00 / $1,989.00 / $1,989.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,393.12 / $1,393.12 / $2,340.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $2,273.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,393.12 / $1,393.12 / $1,813.84