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Indiana rates for HCPCS 0058U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.83 / $371.40 / $1,191.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.02 / $264.83 / $305.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.14 / $289.05 / $968.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.95 / $9.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.95 / $419.85 / $516.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.95 / $387.55 / $484.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.92 / $322.95 / $719.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $393.13 / $471.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.95 / $322.95 / $322.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.63 / $193.78 / $354.93