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Indiana rates for HCPCS 41821

Operculectomy, excision pericoronal tissues

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $4,897.79 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $57.54 / $91.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $8,709.64 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $79.43 / $123.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $53.70 / $61.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $79.43 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $72.44 / $186.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $3,715.35 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $60.26 / $91.20