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Indiana rates for HCPCS 21188

Rcnstj Mdfc Oth/Thn Lefort Osteot & Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,386.00 / $2,428.34 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,315.99 / $1,492.21 / $2,014.48
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
$1,392.45 / $1,904.10 / $2,627.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,436.89 / $1,867.96 / $2,155.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,436.89 / $1,724.27 / $2,155.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.00 / $2,004.73 / $3,304.85
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
$1,331.75 / $1,731.11 / $3,109.28