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Indiana rates for HCPCS 21050

Condylectomy Temporomandibular Joint Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.05 / $2,318.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.40 / $816.05 / $1,101.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,309.00 / $7,200.00 / $15,727.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.28 / $1,093.70 / $1,509.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.95 / $1,104.83 / $1,657.26
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.17 / $986.46 / $1,420.50
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
$847.81 / $1,096.59 / $1,781.00
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
$720.04 / $942.12 / $1,718.93