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Indiana rates for HCPCS D7260

Oroantral Fistula Closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.86 / $254.86 / $254.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.86 / $295.11 / $632.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.00 / $1,347.00 / $2,599.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.59 / $1,347.00 / $1,912.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,649.61 / $16,774.95 / $23,574.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.20 / $689.20 / $689.20