go back

Indiana rates for HCPCS Q4229

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.61 / $465.97 / $465.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $465.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.36 / $461.36 / $890.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $655.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.36 / $461.36 / $692.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $553.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.36 / $461.36 / $461.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $461.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $692.04