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Indiana rates for HCPCS Q4218

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $120.00 / $120.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $120.00 / $121.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $127.50 / $142.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.51 / $66.51 / $86.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.51 / $79.81 / $99.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $186.00