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Indiana rates for HCPCS 0474T

Insj Ant Seg Aqueous Drg Dev W/Io Rsvr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.42 / $3,500.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.43 / $258.42 / $374.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,429.00 / $10,338.00 / $26,304.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.98 / $1,208.66 / $1,628.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.61 / $389.79 / $1,229.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.83 / $374.80 / $449.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.50 / $450.00 / $646.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $1,992.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,721.00 / $10,000.00 / $18,302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.76 / $576.29 / $1,213.24