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Indiana rates for HCPCS 40720

Plstc Rpr Cl Lip/Nsl Dfrm Sec Recrtj Dfct & Recl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.33 / $2,318.00 / $17,225.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.60 / $1,000.33 / $1,252.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,601.00 / $8,240.00 / $17,829.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.98 / $1,180.00 / $1,589.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.77 / $1,240.71 / $1,876.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.77 / $1,112.11 / $1,668.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,868.80 / $1,868.80 / $1,868.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.84 / $1,214.46 / $1,746.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,717.90 / $9,369.00 / $15,660.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.41 / $1,076.55 / $1,956.01