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Indiana rates for HCPCS 21151

Rcnstj Midface Lefort Ii W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,386.00 / $2,755.16 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.34 / $1,720.68 / $2,301.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,838.00 / $17,380.30 / $25,253.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,609.00 / $2,413.00 / $3,260.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,630.27 / $2,119.35 / $2,445.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.27 / $1,906.22 / $2,445.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,782.94 / $2,390.86 / $3,965.72
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
$1,560.03 / $2,066.67 / $3,619.44