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Indiana rates for HCPCS 63663

Revj Incl Rplcmt Nstim Eltrd Prq Ra Incl Fluor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.10 / $1,386.00 / $13,357.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,646.00 / $26,904.00 / $50,875.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.72 / $531.34 / $1,111.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,914.54 / $6,914.54 / $8,196.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,431.00 / $12,330.00 / $17,649.00