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Indiana rates for HCPCS 40700

Plstc Rpr Cl Lip/Nsl Dfrm Prim Prtl/Compl Uni

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$982.30 / $4,580.00 / $17,225.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.37 / $982.30 / $1,228.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,427.00 / $11,294.00 / $22,813.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.72 / $1,075.90 / $1,449.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.34 / $1,184.69 / $1,275.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.30 / $1,093.56 / $1,294.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,909.74 / $3,909.74 / $3,909.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.11 / $1,136.70 / $1,717.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,699.00 / $10,000.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.61 / $1,006.99 / $1,914.57