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Ohio 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
$461.36 / $461.36 / $673.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $475.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $530.55 / $895.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.36 / $461.36 / $784.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $622.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.24 / $435.24 / $461.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $652.86
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.80 / $1,417.80 / $1,417.80
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $652.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.34 / $507.49 / $551.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $593.30