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Indiana rates for HCPCS 12005

Smpl Rpr Scalp/Neck/Ax/Genit/Trunk 12.6-20.0cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.63 / $261.14 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.63 / $145.12 / $206.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.34 / $116.34 / $116.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,353.00 / $8,052.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.22 / $185.72 / $283.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.58 / $108.63 / $216.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.82 / $189.38 / $227.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.32 / $287.32 / $287.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.69 / $195.00 / $293.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.16 / $183.97 / $295.94