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Indiana rates for HCPCS 21049

Exc B9 Tum/Cst Maxl Xtr-Oral Osteot&Prtl Maxlc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.92 / $1,094.72 / $1,464.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.07 / $1,149.18 / $1,585.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.44 / $1,265.33 / $1,581.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.64 / $1,427.52 / $2,431.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.56 / $1,339.14 / $2,316.11