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Indiana rates for HCPCS 40843

Vestibuloplasty; posterior, bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.55 / $1,294.38 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.55 / $1,133.70 / $1,294.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,473.00 / $7,200.00 / $15,727.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.03 / $955.04 / $1,483.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$802.40 / $1,022.67 / $1,470.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.65 / $1,237.75 / $1,617.98
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
$877.95 / $1,202.64 / $2,238.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,094.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.09 / $1,298.40 / $2,556.00