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Indiana rates for HCPCS 0123U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.28 / $1,072.89 / $1,319.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.25 / $1,072.89 / $1,941.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.61 / $4.25 / $246.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.63 / $447.04 / $7,885.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.63 / $393.39 / $482.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.46 / $676.15 / $1,394.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.94 / $438.00 / $513.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.19 / $214.58 / $334.10