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Indiana rates for HCPCS 29804

Arthroscopy, temporomandibular joint, surgical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.54 / $2,318.00 / $11,093.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.00 / $6,474.00 / $13,758.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.21 / $767.14 / $1,150.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,116.34 / $2,116.34 / $2,508.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,348.00 / $12,569.00