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Indiana rates for HCPCS 63053

Lam Facetec/Foramot Drg Arthrd Lmbr Ea Addl Sgm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.64 / $3,500.00 / $6,008.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.99 / $53.99 / $469.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.04 / $257.45 / $297.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00