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Indiana rates for HCPCS 25607

Optx Dstl Radl X-Artic Fx/Epiphysl Sep

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.09 / $4,846.00 / $17,560.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,322.00 / $12,191.00 / $30,900.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.94 / $951.26 / $1,426.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,378.47 / $6,378.47 / $7,561.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.00 / $12,330.00 / $17,416.00