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Indiana rates for HCPCS A6509

Compression burn garment, upper trunk to waist including arm openings (vest), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $300.00 / $579.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.00 / $300.00 / $414.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.77 / $314.77 / $408.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.77 / $377.74 / $472.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.26 / $191.26 / $396.00