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Indiana rates for HCPCS 15240

Fth/Gf Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20sqcm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.59 / $1,425.48 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.59 / $773.06 / $1,009.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.00 / $5,948.00 / $9,462.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.21 / $812.77 / $1,219.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.87 / $942.21 / $1,149.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.48 / $1,012.18 / $1,207.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.83 / $1,314.83 / $1,314.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.66 / $925.27 / $1,369.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $3,870.00 / $5,490.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.10 / $967.10 / $1,532.93