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Indiana rates for HCPCS 21462

Open Tx Mandibular Fx W/Interdental Fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.71 / $1,855.83 / $16,042.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,641.00 / $10,700.00 / $17,513.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,043.34 / $1,356.36 / $2,399.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,964.22 / $4,964.22 / $5,884.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00