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Indiana rates for HCPCS D7953

Bone Replcmt Graft Ridge Preservation Per Site

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.37 / $403.37 / $403.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.23 / $403.37 / $537.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $800.00 / $1,544.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.00 / $800.00 / $1,136.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.79 / $97.79 / $97.79