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Indiana rates for HCPCS A6503

Compression burn garment, facial hood, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.00 / $170.00 / $328.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.90 / $170.00 / $234.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.40 / $224.40 / $224.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $40.00 / $60.00