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Indiana rates for HCPCS 42415

Exc Prtd Tum/Prtd Glnd Lat Dsj&Prsrv Facial Nr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,153.91 / $16,199.00 / $30,764.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,719.00 / $11,294.00 / $22,813.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.82 / $1,346.23 / $2,163.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $1,205.52 / $3,909.74
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$118.93 / $118.93 / $118.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,529.00 / $9,550.00 / $15,750.00