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Indiana rates for HCPCS Q4258

Enverse, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.24 / $90.64 / $90.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $90.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.75 / $89.75 / $173.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $127.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.75 / $89.75 / $134.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $103.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.75 / $89.75 / $89.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $89.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $119.89