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Indiana rates for HCPCS 24900

Amputation Arm Thru Humerus W/Primary Closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.76 / $1,386.00 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.30 / $702.30 / $928.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $33,765.49 / $49,433.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.71 / $915.00 / $1,262.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$708.96 / $973.08 / $1,459.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.06 / $868.83 / $1,251.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.15 / $934.00 / $1,476.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.00 / $12,330.00 / $17,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.05 / $802.38 / $1,447.27