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Indiana rates for HCPCS 20103

Exploration Penetrating Wound Spx Extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.60 / $933.86 / $5,634.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $4,097.10 / $8,230.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.10 / $403.13 / $689.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$949.22 / $949.22 / $1,125.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.00 / $3,267.00 / $4,271.00