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Indiana rates for HCPCS 20103

Exploration of penetrating wound (separate procedure); extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $933.25 / $5,370.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $4,466.84 / $8,317.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $338.84 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $2,818.38 / $4,265.80