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Indiana rates for HCPCS 24164

Removal of prosthesis, includes debridement and synovectomy when performed; radial head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,897.79 / $11,220.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $13,803.84 / $19,054.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $724.44 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,511.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $7,762.47 / $10,964.78