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Indiana rates for HCPCS L6714

Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.24 / $760.24 / $1,597.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.24 / $780.01 / $794.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,261.99 / $1,429.72 / $1,597.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.30 / $871.83 / $1,176.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.60 / $1,757.20 / $2,396.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,357.83 / $1,757.20 / $2,156.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.71 / $891.71 / $1,597.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.95 / $891.71 / $1,680.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.63 / $796.95 / $1,200.50