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Indiana rates for HCPCS 15576

Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.70 / $1,123.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.70 / $652.79 / $823.15
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
$553.15 / $691.44 / $1,037.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.09 / $770.67 / $967.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.71 / $855.25 / $1,015.84
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
$604.84 / $814.29 / $1,268.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $3,870.00 / $5,490.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.54 / $855.25 / $1,291.77