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Indiana rates for HCPCS 54164

Frenulotomy Penis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.04 / $3,038.33 / $8,157.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $5,126.00 / $8,240.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.60 / $232.73 / $268.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,286.40 / $1,286.40 / $1,286.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,094.00 / $10,413.00