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Ohio rates for HCPCS Q4255

REGUaRD, for topical use only, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $117.49 / $134.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $151.36 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
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
$120.23 / $125.89 / $125.89