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Indiana rates for HCPCS 25676

Open Tx Distal Radioulnar Dislc Acute/Chronic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.98 / $2,318.00 / $7,212.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,796.00 / $6,340.00 / $30,900.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.90 / $809.66 / $1,214.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,705.12 / $4,705.12 / $5,577.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,032.00 / $10,413.00