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Indiana rates for HCPCS 37211

Thrombolysis Arterial Infusion Icra Rs&I Init Tx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.75 / $1,386.00 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.18 / $433.79 / $559.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,429.00 / $10,338.00 / $26,304.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.61 / $479.57 / $661.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.40 / $470.93 / $737.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.20 / $437.29 / $605.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,343.50 / $5,343.50 / $5,343.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.49 / $556.58 / $834.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,431.00 / $11,151.00 / $17,380.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.23 / $504.57 / $805.86