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Indiana rates for HCPCS G0412

Open Treatment Of Iliac Spine(S) Tuberosity Avulsion Or Iliac Wing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.78 / $1,386.00 / $16,042.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $19,595.20 / $27,445.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.05 / $851.58 / $982.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.00 / $12,330.00 / $17,416.00