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Indiana rates for HCPCS 69716

Impl Oi Implt Skull Mag Tc Attachment Esp<100

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.95 / $2,318.00 / $19,071.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,646.00 / $24,214.00 / $45,778.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.04 / $730.35 / $842.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,629.73 / $13,629.73 / $13,629.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,431.00 / $12,296.00 / $17,380.00