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Indiana rates for HCPCS 21208

Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.57 / $1,328.69 / $1,966.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.96 / $978.91 / $1,413.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.35 / $1,753.62 / $2,192.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.25 / $1,394.27 / $2,728.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,376.75 / $1,787.02 / $3,325.56