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Indiana rates for HCPCS 00104

Anesthesia for electroconvulsive therapy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$358.29 / $383.88 / $473.45
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$127.84 / $162.08 / $270.00