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Indiana rates for HCPCS 28264

Capsulotomy Midtarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.62 / $1,063.34 / $5,634.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,636.00 / $3,840.00 / $7,747.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.53 / $880.88 / $1,321.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.45 / $1,123.45 / $1,331.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00