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Indiana rates for HCPCS 40844

Vestibuloplasty Entire Arch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.82 / $1,472.97 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.82 / $1,438.11 / $1,627.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,719.00 / $10,700.00 / $17,513.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.27 / $1,196.01 / $1,857.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.33 / $1,384.55 / $1,845.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,356.12 / $1,559.54 / $2,034.18
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
$1,169.24 / $1,479.52 / $2,664.37
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
$1,285.77 / $1,624.55 / $2,954.90