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Indiana rates for HCPCS 21040

Excision Benign Tumor/Cyst Mandible Encl & Curt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.83 / $4,846.00 / $9,879.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.28 / $421.97 / $481.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,943.00 / $5,126.00 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.12 / $251.37 / $363.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.17 / $435.72 / $574.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.45 / $467.91 / $635.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,868.80 / $1,868.80 / $2,215.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.17 / $483.78 / $799.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,138.00 / $6,032.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.38 / $540.65 / $945.80