go back

Indiana rates for HCPCS 0115U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.64 / $536.92 / $1,016.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.28 / $245.44 / $245.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.54 / $826.05 / $1,494.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.95 / $70.54 / $100.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.35 / $357.96 / $440.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.35 / $330.42 / $413.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.98 / $520.26 / $1,073.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.11 / $335.34 / $401.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.65 / $165.21 / $302.89