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Ohio rates for HCPCS Q4209

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $350.00 / $350.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.00 / $350.00 / $350.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.51 / $66.51 / $81.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00