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Indiana rates for HCPCS 12016

Simple Repair F/E/E/N/L/M 12.6cm-20.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.89 / $218.19 / $7,212.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,353.00 / $8,052.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.50 / $146.38 / $266.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.32 / $287.32 / $287.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00