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Indiana rates for HCPCS 29867

Arthroscopy Knee Osteochondral Allograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.47 / $3,041.52 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.21 / $1,195.24 / $1,608.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,646.00 / $24,214.00 / $45,778.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.22 / $1,546.76 / $2,134.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,227.05 / $1,616.82 / $2,425.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.86 / $1,443.59 / $2,078.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,418.81 / $13,418.81 / $15,906.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.96 / $1,557.30 / $2,587.67
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
$1,036.89 / $1,376.34 / $2,492.86