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Indiana rates for HCPCS 15630

Delay Flap/Sctj Flap Eyelids Nose Ears/Lips

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.62 / $834.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.62 / $376.49 / $433.12
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
$298.02 / $377.89 / $549.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.81 / $409.02 / $572.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.31 / $503.17 / $601.25
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
$299.61 / $452.96 / $693.09
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
$353.50 / $474.39 / $752.69