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Indiana rates for HCPCS 14302

Adjt Tis Trnsfr/Reargmt Defec Ea Addl 30 Sqcm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.18 / $4,846.00 / $15,361.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.18 / $198.46 / $479.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.95 / $1,805.00 / $8,766.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.97 / $236.39 / $365.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.85 / $230.22 / $263.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.85 / $211.04 / $259.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.92 / $261.98 / $363.00
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
$170.80 / $235.66 / $362.46