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Indiana rates for HCPCS A6502

Compression Burn Garment Chin Strap Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $95.00 / $183.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.30 / $95.00 / $131.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.37 / $111.37 / $125.40