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Indiana rates for HCPCS 65125

Modificaj Oc Implt W/Plmt/Rplcmt Pegs Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.51 / $425.40 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.51 / $405.72 / $504.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.00 / $5,790.87 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.72 / $332.10 / $447.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.16 / $357.66 / $621.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.35 / $485.22 / $727.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.81 / $768.10 / $1,375.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.68 / $437.32 / $707.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,399.00 / $5,995.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.04 / $485.22 / $830.30