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Ohio rates for HCPCS Q4224

Human Health Factor 10 Amniotic Patch (HHF10-P), per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.50 / $34.50 / $115.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.51 / $59,702.01 / $59,702.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.51 / $66.51 / $66.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $50.00