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Indiana rates for HCPCS 27696

Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.46 / $2,990.30 / $9,960.81
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
$515.45 / $707.48 / $1,061.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,045.59 / $6,045.59 / $7,166.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,126.00 / $7,672.00 / $11,284.00