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Indiana rates for HCPCS 0692T

Therapeutic ultrafiltration

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.68 / $77.56 / $256.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,009.19 / $1,009.19 / $1,009.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.10 / $70.70 / $106.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.26 / $1,278.93 / $2,115.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.98 / $104.68 / $104.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.06 / $93.83 / $139.08