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Indiana rates for HCPCS 24930

Amputation Arm Thru Humerus Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.74 / $1,386.00 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.14 / $724.62 / $971.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $19,595.20 / $27,445.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.41 / $988.70 / $1,364.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.82 / $983.86 / $1,475.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.76 / $878.45 / $1,264.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.44 / $974.03 / $1,573.80
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
$621.90 / $841.40 / $1,492.88