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Indiana rates for HCPCS 35875

Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.53 / $1,628.00 / $17,225.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,719.00 / $10,076.00 / $23,814.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.91 / $660.08 / $761.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,033.31 / $4,033.31 / $4,033.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,431.00 / $12,296.00 / $17,380.00