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Indiana rates for HCPCS 54164

Frenulotomy of penis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $4,897.79 / $8,128.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $8,317.64 / $10,471.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $199.53 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $251.19 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $6,025.60 / $10,715.19