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Indiana rates for HCPCS 41250

Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.90 / $620.26 / $4,846.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,353.00 / $8,052.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.01 / $180.71 / $347.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.45 / $259.45 / $538.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $2,174.00 / $4,426.00