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Indiana rates for HCPCS 63001

Lam W/O Facetec Foramot/Dsc 1/2 Vrt Sgm Crv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,108.31 / $2,848.36 / $10,985.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,705.10 / $16,700.00 / $33,821.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.38 / $1,403.19 / $1,619.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,705.12 / $4,705.12 / $5,577.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.00 / $12,330.00 / $17,416.00