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Indiana rates for HCPCS 25491

Proph Tx N/P/Pltwr W/Wo Methylmethacrylate Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.90 / $2,318.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.98 / $692.88 / $932.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,065.00 / $7,890.00 / $37,919.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.36 / $1,072.59 / $1,480.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.83 / $942.70 / $1,414.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.36 / $808.03 / $1,212.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,267.39 / $11,267.39 / $13,356.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.00 / $1,057.55 / $1,717.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.47 / $820.80 / $1,489.94