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Indiana rates for HCPCS A2009

Symphony, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.16 / $75.16 / $75.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.47 / $54.67 / $83.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.74 / $44.69 / $87.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.51 / $108.56 / $125.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.84 / $88.73 / $125.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.30 / $91.30 / $113.21