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Indiana rates for HCPCS A6505

Compression burn garment, glove to elbow, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.00 / $187.00 / $360.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.80 / $187.00 / $258.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.27 / $98.27 / $246.84