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Indiana rates for HCPCS 13133

Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 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
$103.71 / $405.80 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.71 / $139.84 / $159.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.16 / $141.16 / $272.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.63 / $143.59 / $211.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.68 / $146.65 / $207.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.58 / $181.90 / $217.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.58 / $171.81 / $255.27
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
$128.84 / $170.89 / $273.75