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Indiana rates for HCPCS 12002

Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.12 / $532.09 / $1,386.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.25 / $89.43 / $178.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.46 / $66.63 / $139.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $4,320.00 / $8,230.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.64 / $127.57 / $226.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.26 / $62.71 / $73.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.06 / $112.27 / $137.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.13 / $125.18 / $194.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.53 / $122.47 / $191.68