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Indiana rates for HCPCS 69726

Removal Entire Oi Implt Skl Perq Attachment Esp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.68 / $1,386.00 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.07 / $434.68 / $604.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,614.00 / $9,200.00 / $18,942.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.90 / $201.06 / $315.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.22 / $561.07 / $647.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.59 / $517.91 / $647.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,116.34 / $2,116.34 / $2,116.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.31 / $555.79 / $856.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,025.00 / $11,038.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.45 / $503.98 / $851.69