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Indiana rates for HCPCS 41823

Exc Oss Tuberosities Dentoalveolar Struxs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.46 / $570.53 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.80 / $488.28 / $659.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,389.00 / $10,288.00 / $26,304.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.20 / $393.31 / $601.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.27 / $435.85 / $650.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.44 / $538.51 / $713.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.09 / $498.09 / $761.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.67 / $476.61 / $835.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $5,995.00 / $9,243.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.82 / $497.33 / $875.64