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Indiana rates for HCPCS 21193

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,162.99 / $2,318.00 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.68 / $1,162.99 / $1,570.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,852.40 / $10,338.00 / $26,304.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.80 / $1,418.70 / $1,957.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.60 / $1,461.99 / $1,686.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.60 / $1,242.69 / $1,686.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.88 / $1,532.43 / $2,586.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.33 / $1,327.23 / $2,388.89