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Indiana rates for HCPCS 29058

Application, cast; plaster Velpeau

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.24 / $114.95 / $193.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.99 / $112.26 / $128.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $4,320.00 / $8,230.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.40 / $94.04 / $129.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.08 / $110.60 / $153.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.61 / $126.07 / $171.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.84 / $98.84 / $117.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.88 / $128.63 / $211.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.55 / $126.67 / $224.21