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Indiana rates for HCPCS 15935

Exc Sacral Pr Ulcer W/Skn Flap Clsr W/Ostectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$955.94 / $2,760.39 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.40 / $955.94 / $1,093.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,536.00 / $7,833.00 / $14,645.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.58 / $1,148.36 / $1,700.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$931.75 / $1,357.17 / $1,461.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.98 / $1,252.78 / $1,484.56
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
$995.91 / $1,269.56 / $1,885.50
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
$899.18 / $1,185.91 / $2,345.11