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Indiana rates for HCPCS 24931

Amputation, arm through humerus; with implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,467.37 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $912.01 / $1,479.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $14,454.40 / $19,498.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,122.02 / $1,819.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $933.25 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,479.11 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,047.13 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $11,481.54 / $17,378.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $912.01 / $1,621.81