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Indiana rates for HCPCS 0164T

Rmvl Tot Disc Arthrp Ant Appr Lmbr Ea Ntrspc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.04 / $3,500.00 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.55 / $658.83 / $1,142.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.00 / $972.31 / $30,900.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.23 / $444.98 / $631.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.77 / $9,086.58 / $14,443.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.26 / $587.37 / $587.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.75 / $678.36 / $1,581.83