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Ohio rates for HCPCS Q4251

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $147.91 / $151.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $125.89 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $181.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $50.12 / $102.33
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $144.54 / $158.49
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $144.54 / $269.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $181.97 / $181.97