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Indiana rates for HCPCS D4270

Pedicle Soft Tissue Graft Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.80 / $190.80 / $190.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.80 / $221.08 / $260.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $498.00 / $961.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.00 / $498.00 / $707.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,611.46 / $16,734.58 / $23,534.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.66 / $387.66 / $387.66