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Indiana rates for HCPCS 24371

Revis Elbow Arthrplsty Humeral&Ulna Compnt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $3,500.00 / $17,225.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,587.48 / $29,200.00 / $56,650.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,618.23 / $2,221.10 / $3,331.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,302.96 / $18,302.96 / $21,696.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,475.00 / $14,307.00 / $19,962.00