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Indiana rates for HCPCS D9952

Occlusal Adjustment - Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.33 / $105.33 / $105.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.33 / $114.30 / $140.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.00 / $372.00 / $717.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.00 / $372.00 / $528.24
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
$230.57 / $230.57 / $230.57