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Indiana rates for HCPCS 15136

Dermal Agrft F/S/N/H/F/G/M/D Gt Ea 100 Cm/Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.56 / $228.29 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.56 / $79.06 / $91.15
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
$79.38 / $99.23 / $142.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.44 / $104.07 / $116.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.61 / $103.93 / $122.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.47 / $105.66 / $158.28
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
$70.27 / $97.22 / $161.83