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Indiana rates for HCPCS 15131

Dermal Autograft Trunk/Arm/Leg Ea 100 Cm/Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.56 / $231.45 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.56 / $80.15 / $92.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,365.00 / $3,548.00 / $4,847.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.43 / $98.19 / $148.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.44 / $104.07 / $118.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.81 / $105.37 / $124.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.83 / $107.13 / $156.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.00 / $2,291.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.42 / $103.44 / $164.49