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Indiana rates for HCPCS 41899

Unlisted procedure, dentoalveolar structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $6,456.54 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $1,380.38 / $5,754.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $5,011.87 / $16,595.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74,131.02 / $74,131.02 / $75,857.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $93.33 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $107.15 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $2,137.96 / $5,754.40