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Indiana rates for HCPCS 23155

Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $4,897.79 / $16,218.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $812.83 / $1,479.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $28,183.83 / $39,810.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $724.44 / $1,202.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $794.33 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,230.27 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $954.99 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $7,762.47 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $851.14 / $1,479.11