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Indiana rates for HCPCS 28202

Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.03 / $923.43 / $11,093.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,473.00 / $7,890.00 / $30,900.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.98 / $519.97 / $741.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,341.12 / $6,341.12 / $7,516.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,032.00 / $10,413.00