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Indiana rates for HCPCS 15860

Intravenous injection of agent (eg, fluorescein) to test vascular flow in flap or graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $4,570.88 / $9,332.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $4,466.84 / $8,709.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $104.71 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $169.82 / $251.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $2,137.96 / $5,754.40