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Indiana rates for HCPCS 21230

Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.26 / $2,472.00 / $17,225.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,719.00 / $11,294.00 / $22,813.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.15 / $879.00 / $1,014.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,909.74 / $3,909.74 / $4,634.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00