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Indiana rates for HCPCS 20933

Allograft, includes templating, cutting, placement and internal fixation, when performed; hemicortical intercalary, partial (ie, hemicylindrical) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$634.80 / $1,631.46 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.99 / $651.86 / $874.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.44 / $622.44 / $1,201.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.95 / $622.44 / $858.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.82 / $796.67 / $919.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.82 / $735.38 / $919.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.86 / $831.50 / $1,117.96
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
$541.92 / $752.69 / $1,319.54