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Indiana rates for HCPCS 01953

Anesthesia for second- and third-degree burn excision or debridement with or without skin grafting, any site, for total body surface area (TBSA) treated during anesthesia and surgery; each additional 9% total body surface area or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $154.88 / $181.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $37.15 / $70.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $25.70 / $77.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $47.86 / $47.86