go back

Indiana rates for HCPCS 24931

Amputation, arm through humerus; with implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.65 / $1,386.00 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.55 / $872.49 / $1,165.93
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
$682.21 / $1,132.59 / $1,562.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.81 / $1,179.05 / $1,768.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.18 / $1,052.73 / $1,515.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.99 / $1,099.90 / $1,815.17
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
$738.68 / $971.89 / $1,631.98