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Indiana rates for HCPCS 31225

Maxillectomy; without orbital exenteration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,779.71 / $4,846.00 / $8,249.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,091.00 / $17,895.78 / $25,253.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,727.85 / $2,439.32 / $3,658.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,242.00 / $10,843.00