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Indiana rates for HCPCS 0004M

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.78 / $90.85 / $291.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.46 / $64.78 / $67.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.60 / $79.00 / $237.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.86 / $31.60 / $42.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.00 / $102.70 / $126.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $94.80 / $118.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.35 / $79.00 / $175.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.71 / $87.45 / $104.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.18 / $47.40 / $86.82