go back

Indiana rates for HCPCS 0258U

Ai Psoriasis Mrna Gen Xprsn Prfl 50-100 Gen Alg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,226.25 / $7,166.25 / $13,560.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,499.00 / $2,903.25 / $3,123.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $11,025.00 / $19,951.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $1,500.00 / $2,025.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,675.00 / $4,777.50 / $5,880.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,675.00 / $4,410.00 / $5,512.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,388.75 / $6,945.53 / $14,331.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,980.00 / $4,222.93 / $5,363.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.50 / $2,205.00 / $4,038.83