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Indiana rates for HCPCS 42550

Injection procedure for sialography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.25 / $163.15 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.80 / $114.29 / $185.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.35 / $57.35 / $110.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.74 / $115.52 / $194.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.03 / $72.84 / $84.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.96 / $149.56 / $203.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.94 / $104.94 / $104.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.63 / $139.25 / $451.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,174.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.74 / $160.69 / $332.66