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Indiana rates for HCPCS 0103U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,117.98 / $2,720.56 / $6,435.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.98 / $2,720.56 / $5,755.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.33 / $5,231.85 / $6,069.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.02 / $335.33 / $452.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,743.95 / $2,267.14 / $3,400.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,743.95 / $2,092.73 / $2,615.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,117.98 / $1,117.98 / $3,887.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.64 / $2,003.88 / $2,544.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.55 / $670.79 / $1,228.66