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Indiana rates for HCPCS 12031

Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $416.87 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $239.88 / $524.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $223.87 / $316.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $4,466.84 / $8,709.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $199.53 / $371.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $169.82 / $194.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $263.03 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $239.88 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $204.17 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $2,137.96 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $199.53 / $338.84