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Indiana rates for HCPCS 64772

Transection/Avulsion Oth Spinal Nrv Xdrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.07 / $4,202.51 / $7,212.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,943.00 / $5,126.00 / $8,240.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.44 / $658.37 / $759.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,239.56 / $1,239.56 / $1,469.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,032.00 / $10,413.00