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Indiana rates for HCPCS 0109T

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.89 / $21.89 / $21.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $31.02 / $46.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.30 / $23.30 / $44.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.80 / $26.68 / $38.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.36 / $425.29 / $23,213.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.15 / $30.76 / $30.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.90 / $32.90 / $32.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.90 / $84.77 / $151.97