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Indiana rates for HCPCS 0304U

Hematology, red blood cell (RBC) adhesion to endothelial/subendothelial adhesion molecules, functional assessment, whole blood, with algorithmic analysis and result reported as an RBC adhesion index; normoxic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,702.16 / $3,383.55 / $6,850.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,639.88 / $1,702.16 / $1,972.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.42 / $6,227.40 / $11,269.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $10.48 / $1,243.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,075.80 / $2,594.75 / $43,749.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,075.80 / $2,283.38 / $2,802.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,349.27 / $3,923.03 / $8,094.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,385.08 / $2,385.08 / $2,981.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.84 / $1,245.48 / $2,075.80