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Indiana rates for HCPCS 22101

Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Thrc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.64 / $2,042.22 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.27 / $820.27 / $1,073.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,411.35 / $7,572.00 / $18,942.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.51 / $918.80 / $1,267.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.73 / $1,029.25 / $1,187.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.73 / $870.90 / $1,187.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.59 / $1,013.74 / $1,675.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.00 / $12,330.00 / $17,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.61 / $938.15 / $1,714.88