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Indiana rates for HCPCS 12054

Repair Intermediate F/E/E/N/L&/Muc 7.6-12.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.98 / $358.94 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.98 / $271.02 / $359.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,353.00 / $8,052.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.79 / $288.88 / $403.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.92 / $259.16 / $471.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.61 / $409.93 / $494.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.32 / $287.32 / $287.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.12 / $328.92 / $509.38
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
$284.11 / $353.92 / $583.97