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Indiana rates for HCPCS A2015

Phoenix wound matrix, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.69 / $91.69 / $91.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.97 / $72.81 / $91.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.38 / $59.38 / $59.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.51 / $1,457.30 / $1,699.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.84 / $1,239.68 / $1,699.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.24 / $785.24 / $785.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.66 / $1,438.66 / $1,783.94