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Indiana rates for HCPCS 20969

Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,386.00 / $3,500.00 / $14,063.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,778.00 / $23,175.52 / $32,252.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,444.75 / $3,178.18 / $3,667.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00