go back

Indiana rates for HCPCS 69714

Impl Oi Implt Skull Perq Attachment Esp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.31 / $4,846.00 / $19,071.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,350.00 / $11,989.00 / $43,260.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.29 / $672.41 / $1,008.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,645.84 / $13,645.84 / $13,645.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,526.00 / $14,307.00 / $23,366.00