LOCAL CASE-15769

Grafting of Autologous Soft Tiss by Direct Exc at FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER

DYER, IN

Pricing by billing methodology

Price type

All methodologies

$12.5k

2–20 samples

Case rate

Not reported

Fee schedule

$3.1k

2–20 samples

Per diem

Not reported

Percent of billed charges

Not reported

Other

$19.9k

Last updated: Jan 1, 2026

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