go back

Indiana rates for HCPCS 67115

Release Encircling Material Posterior Segment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.51 / $1,941.00 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.51 / $493.85 / $627.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,796.00 / $6,340.00 / $15,727.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.31 / $529.00 / $712.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.77 / $603.47 / $912.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.77 / $563.46 / $811.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.00 / $553.64 / $2,806.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.14 / $553.66 / $863.82
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
$403.59 / $536.60 / $1,005.77