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Celera Dual Layer or Celera Dual Membrane

Ohio rates for HCPCS Q4259

Celera Dual Layer or Celera Dual Membrane, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

Facilitymedian $708 · 10th–90th $240$8320%20%10th90th$708Professionalmedian $708 · 10th–90th $126$1,0470%50%10th90th$708$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$776.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$776.25
Typical High
$1,288.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
CareSource
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$269.15
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$181.97
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$269.15
Typical High
$389.05
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$977.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$112.20
Typical High
$891.25
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$141.25
Typical High
$158.49
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$144.54
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$275.42
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$134.90