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Indiana rates for HCPCS 21179

Rcnstj Forehead &/ Supraorb Rims W/Algrf/Prostc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,386.00 / $2,318.00 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.85 / $1,415.73 / $1,919.80
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
$1,258.74 / $1,946.40 / $2,686.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,365.29 / $1,774.88 / $2,047.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.29 / $1,604.31 / $2,047.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,481.82 / $1,915.04 / $3,081.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,069.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,228.14 / $1,614.75 / $2,888.80