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Indiana rates for HCPCS 20955

Bone graft with microvascular anastomosis; fibula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,386.00 / $3,500.00 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,127.33 / $2,358.90 / $3,188.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,778.00 / $23,175.52 / $32,252.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,196.94 / $3,551.70 / $4,794.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,198.73 / $2,858.36 / $3,298.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,198.73 / $2,638.49 / $3,298.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,395.21 / $3,129.73 / $5,221.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,049.60 / $2,710.00 / $4,835.72