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Indiana rates for HCPCS 28446

Open osteochondral autograft, talus (includes obtaining graft[s])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.64 / $2,318.00 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.75 / $1,133.64 / $1,541.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,705.10 / $16,700.00 / $33,821.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.21 / $1,619.83 / $2,210.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,127.44 / $1,547.46 / $2,321.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.33 / $1,381.66 / $1,989.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,963.58 / $5,963.58 / $7,069.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.25 / $1,392.64 / $2,298.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.00 / $12,330.00 / $17,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.87 / $1,313.67 / $2,387.90