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Indiana rates for HCPCS 27105

Transfer paraspinal muscle to hip (includes fascial or tendon extension graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.38 / $2,318.00 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.46 / $814.64 / $1,100.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,807.00 / $7,833.00 / $14,645.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.35 / $1,008.80 / $1,392.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.47 / $1,106.13 / $1,659.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.09 / $948.11 / $1,422.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,116.34 / $2,116.34 / $2,508.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.35 / $1,108.30 / $1,769.81
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
$699.87 / $947.42 / $1,673.16