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Indiana rates for HCPCS 20696

App Mltpln Uni Xtrnl Fix Strtctc Adjmt 1st&Subsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,090.22 / $2,801.87 / $11,093.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,587.48 / $29,200.00 / $56,650.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,053.30 / $1,369.29 / $1,579.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,908.05 / $19,908.05 / $23,599.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,348.00 / $12,569.00