go back

Indiana rates for HCPCS 13102

Repair, complex, trunk; each additional 5 cm or less (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.08 / $280.08 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.08 / $92.31 / $130.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.45 / $94.45 / $94.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.28 / $79.28 / $153.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.45 / $87.26 / $128.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.23 / $83.36 / $142.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.79 / $124.55 / $149.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.28 / $103.42 / $162.84
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
$92.02 / $114.00 / $187.28