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Indiana rates for HCPCS 15574

Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands or feet

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.94 / $1,123.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.94 / $729.46 / $823.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.00 / $5,948.00 / $9,462.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.74 / $787.18 / $1,180.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.41 / $854.15 / $1,091.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.02 / $934.82 / $1,146.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.83 / $1,314.83 / $1,314.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.27 / $909.14 / $1,405.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $3,870.00 / $6,474.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.98 / $931.34 / $1,576.98