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Indiana rates for HCPCS 24920

Amputation, arm through humerus; open, circular (guillotine)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.97 / $1,386.00 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.78 / $687.36 / $924.39
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
$598.04 / $906.60 / $1,251.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.38 / $933.86 / $1,400.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.04 / $833.80 / $1,200.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.94 / $941.49 / $1,488.03
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
$591.37 / $786.84 / $1,394.46