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Indiana rates for HCPCS 13101

Repair Complex Trunk 2.6-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.83 / $1,231.23 / $8,916.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.67 / $332.33 / $648.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.48 / $322.48 / $372.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,073.00 / $5,061.00 / $9,462.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.74 / $305.50 / $459.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.45 / $268.14 / $312.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.37 / $389.81 / $478.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.96 / $439.96 / $439.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.40 / $351.00 / $628.44
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
$301.20 / $411.78 / $625.71