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Indiana rates for HCPCS 42660

Dilat&Cathj Salivary Duct W/Wo Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.67 / $112.87 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.06 / $108.77 / $147.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $4,119.97 / $8,230.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.62 / $83.68 / $125.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.87 / $93.43 / $136.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.76 / $103.00 / $134.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.70 / $73.70 / $761.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.15 / $118.20 / $217.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $2,174.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.89 / $123.73 / $219.39