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Indiana rates for HCPCS 40819

Exc Frenum Labial/Buccal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.08 / $1,469.01 / $5,761.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.60 / $265.97 / $374.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,682.00 / $3,840.00 / $7,747.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.24 / $226.65 / $337.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.62 / $241.67 / $334.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.63 / $297.16 / $371.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$881.00 / $881.00 / $881.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.39 / $286.97 / $569.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $3,870.00 / $5,490.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.22 / $328.99 / $719.52