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Indiana rates for HCPCS 13120

Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.72 / $927.00 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.72 / $281.14 / $367.51
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.54 / $163.54 / $163.54
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
$190.94 / $264.00 / $385.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.68 / $271.92 / $437.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.73 / $381.28 / $459.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.96 / $439.96 / $439.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.00 / $324.70 / $487.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.00 / $2,049.00 / $4,395.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.26 / $339.95 / $555.74