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Indiana rates for HCPCS 15738

Musc Myocutaneous/Fasciocutaneous Flap Lxtr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,044.53 / $4,846.00 / $25,483.13
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$522.27 / $522.27 / $957.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.53 / $1,133.31 / $1,408.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,309.00 / $6,474.00 / $13,810.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.03 / $1,318.90 / $1,872.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,011.48 / $1,473.30 / $1,586.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.31 / $1,303.31 / $1,620.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,623.15 / $2,623.15 / $2,623.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.50 / $1,452.32 / $2,141.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,025.00 / $11,038.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.38 / $1,413.48 / $2,273.85