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Indiana rates for HCPCS 15770

Graft; derma-fat-fascia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.41 / $4,846.00 / $9,860.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.09 / $607.08 / $806.68
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
$534.49 / $669.54 / $967.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.23 / $795.63 / $856.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.02 / $734.42 / $872.19
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
$550.12 / $750.61 / $1,127.00
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
$515.63 / $653.74 / $1,042.82