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Indiana rates for HCPCS L0859

Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.28 / $679.28 / $1,372.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.16 / $705.41 / $763.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,084.24 / $1,228.33 / $1,372.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.52 / $816.05 / $1,101.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.33 / $1,509.70 / $2,058.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.58 / $1,509.70 / $1,852.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.19 / $969.19 / $1,372.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.51 / $707.51 / $1,407.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.47 / $684.70 / $1,002.35