go back

Indiana rates for HCPCS 12052

Repair Intermediate F/E/E/N/L&/Muc 2.6-5.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.03 / $807.07 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.03 / $264.12 / $364.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.87 / $172.34 / $354.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $4,320.00 / $8,230.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.40 / $245.74 / $358.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.83 / $218.20 / $254.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.23 / $311.55 / $382.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.77 / $268.77 / $268.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.56 / $278.95 / $439.30
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
$229.98 / $297.16 / $475.89