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Indiana rates for HCPCS 21025

Excision of bone (eg, for osteomyelitis or bone abscess); mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.89 / $1,600.83 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.89 / $738.40 / $1,004.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,310.00 / $6,340.00 / $15,727.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.00 / $947.55 / $1,317.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.00 / $799.50 / $985.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.29 / $881.15 / $1,101.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,909.74 / $3,909.74 / $4,634.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.75 / $906.33 / $1,569.61
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
$708.42 / $935.21 / $1,664.36