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Indiana rates for HCPCS 41822

Exc Fibrous Tuberosities Dentoalveolar Struxs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.27 / $381.54 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.51 / $276.64 / $436.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $5,757.57 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.78 / $266.47 / $447.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.04 / $239.25 / $435.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.95 / $381.54 / $476.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.12 / $338.12 / $761.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.89 / $299.13 / $533.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $3,817.00 / $5,402.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.27 / $338.74 / $616.04