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Indiana rates for HCPCS 42975

Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.14 / $4,150.08 / $10,341.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.94 / $101.92 / $180.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.00 / $5,230.00 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $40.49 / $86.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.72 / $114.35 / $131.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.96 / $102.79 / $131.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.59 / $1,061.59 / $1,061.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.79 / $140.21 / $230.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.55 / $137.38 / $251.94