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Indiana rates for HCPCS A6025

Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each

Facilitymedian $13 · 10th–90th $5–$130%50%10th90th$13Professionalmedian $11 · 10th–90th $6–$150%10%10th90th$11$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $13.49 / $13.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $12.02 / $15.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $9.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $5.62 / $13.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $15.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $17.78