LOCAL CASE-15769

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

CITY, IN

Pricing by billing methodology

Price type

All methodologies

$13.8k

3–30 samples

Case rate

$19.7k

Fee schedule

$3.1k

1–10 samples

Per diem

Not reported

Percent of billed charges

$2.8k

1–10 samples

Other

$21.6k

1–10 samples

Last updated: Jan 1, 2026

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