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Indiana rates for HCPCS 40845

Vestibuloplasty Cplx W/Ridge Xtn Musc Rpsg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,190.41 / $1,526.54 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,184.15 / $1,412.61 / $1,677.92
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
$1,221.23 / $1,468.45 / $2,287.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,118.98 / $1,426.15 / $1,828.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.71 / $1,535.02 / $2,006.57
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
$1,251.70 / $1,670.03 / $3,076.74
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
$1,392.79 / $1,758.94 / $3,743.77