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Indiana rates for HCPCS 12011

Simple Repair F/E/E/N/L/M 2.5cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.68 / $454.88 / $927.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.30 / $80.97 / $187.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.97 / $74.31 / $136.82
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
$65.55 / $139.22 / $221.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.54 / $59.45 / $69.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.24 / $110.26 / $135.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.34 / $124.15 / $205.33
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
$85.26 / $125.05 / $190.28