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Indiana rates for HCPCS A2007

Restrata, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.60 / $193.60 / $193.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.60 / $193.60 / $196.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.49 / $69.86 / $193.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.26 / $75.75 / $115.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.26 / $74.26 / $89.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.70 / $205.70 / $205.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.70 / $205.70 / $205.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.00 / $220.00 / $242.00