go back

Indiana rates for HCPCS 0491T

Ablative laser treatment, non-contact, full field and fractional ablation, open wound, per day, total treatment surface area; first 20 sq cm or less

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.00 / $4,320.00 / $9,270.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,499.48 / $52,499.48 / $89,999.10