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Indiana rates for HCPCS 01636

Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; interthoracoscapular (forequarter) amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,230.27 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $44.67 / $1,445.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $831.76 / $1,174.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $204.17 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,000.00 / $1,513.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $50.12 / $70.79