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Indiana rates for HCPCS 69719

Rplcmt Oi Implt Skull Mag Tc Attachment Esp<100

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.85 / $2,318.00 / $19,071.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.41 / $586.85 / $816.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,646.00 / $24,214.00 / $45,778.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.26 / $256.77 / $467.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.74 / $758.00 / $874.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.08 / $670.54 / $874.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,165.86 / $14,165.86 / $14,165.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.73 / $785.59 / $1,264.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,431.00 / $12,296.00 / $17,380.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.30 / $747.41 / $1,232.19