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Indiana rates for HCPCS Q4210

Axolotl Graft or Axolotl DualGraft, per sq cm

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,153.13 / $2,153.13 / $41,999.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,153.13 / $2,153.13 / $2,153.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.00 / $848.00 / $1,097.28