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Indiana rates for HCPCS 21139

Rdctj Fhd Cntrg & Setback Ant Frontal Sinus Wall

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.51 / $1,386.00 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.92 / $1,013.51 / $1,389.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,852.40 / $10,338.00 / $26,304.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.98 / $1,245.20 / $1,718.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.97 / $1,275.26 / $1,471.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.97 / $1,079.07 / $1,471.46
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
$1,024.50 / $1,319.49 / $2,280.35
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
$897.47 / $1,170.64 / $2,135.40