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Indiana rates for HCPCS 15201

Fth/Gft Fr W/Dir Clsr Trnk Ea Addl 20 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.62 / $336.34 / $7,212.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,804.00 / $4,417.00 / $7,761.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.50 / $88.13 / $170.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00