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Indiana rates for HCPCS D4266

Guid Tissue Regen - Resorbable Barrier Per Site

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.94 / $216.94 / $216.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.66 / $216.94 / $289.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.00 / $544.00 / $1,049.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.20 / $544.00 / $772.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,611.46 / $16,734.58 / $23,534.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.09 / $201.09 / $201.09