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Indiana rates for HCPCS 13100

Repair, complex, trunk; 1.1 cm to 2.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.67 / $731.00 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.67 / $270.25 / $316.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.63 / $136.63 / $136.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,804.00 / $4,353.00 / $8,052.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.26 / $241.94 / $359.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.60 / $236.85 / $419.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.76 / $365.71 / $440.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.96 / $439.96 / $439.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.94 / $299.70 / $450.93
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
$256.83 / $328.04 / $544.58