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Indiana rates for HCPCS 41850

Destruction Lesion Dentoalveolar Structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.61 / $2,318.00 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.80 / $121.61 / $166.93
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
$59.50 / $70.00 / $104.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.26 / $147.26 / $26,999.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.08 / $130.90 / $163.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.16 / $761.00 / $881.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.48 / $143.91 / $239.38
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
$105.14 / $133.68 / $229.53