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Indiana rates for HCPCS 15050

Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to defect size 2 cm diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $4,897.79 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $501.19 / $1,071.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $4,466.84 / $8,317.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $501.19 / $812.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $575.44 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $524.81 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $2,137.96 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $524.81 / $851.14