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Indiana rates for HCPCS Q4226

MyOwn Skin, includes harvesting and preparation procedures, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.00 / $1,152.00 / $1,152.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.00 / $1,152.00 / $1,152.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.97 / $246.97 / $745.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.97 / $386.49 / $386.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.51 / $66.51 / $91.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.51 / $79.81 / $99.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.00 / $1,224.00 / $1,224.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.00 / $1,224.00 / $1,224.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.00 / $1,200.00 / $1,488.00