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Indiana rates for HCPCS 11772

Excision Pilonidal Cyst/Sinus Complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.98 / $4,989.74 / $23,871.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,309.00 / $6,474.00 / $13,810.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.57 / $675.23 / $941.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.75 / $1,610.75 / $1,610.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.58 / $5,174.00 / $9,243.00