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Indiana rates for HCPCS 15261

Fth/Gft Free W/Dir Clsr N/E/E/L Ea Addl 20 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.36 / $494.24 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.36 / $166.10 / $190.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,804.00 / $4,417.00 / $7,761.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.21 / $180.40 / $247.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.13 / $157.50 / $251.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.18 / $210.66 / $264.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.01 / $199.82 / $333.81
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
$162.13 / $219.92 / $357.12