go back

Indiana rates for HCPCS D9951

Occlusal Adjustment - Limited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.22 / $30.22 / $30.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.22 / $32.93 / $40.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $66.00 / $127.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.00 / $66.00 / $93.72
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
$48.95 / $48.95 / $48.95