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Indiana rates for HCPCS 43314

Esphgp Cgen Dfct Thrc Appr W/Rpr Fstl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.00 / $3,274.96 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,650.38 / $3,095.54 / $4,280.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,838.00 / $16,821.03 / $25,253.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,729.13 / $3,745.90 / $5,069.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,729.13 / $3,547.87 / $4,093.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,729.13 / $3,274.96 / $4,093.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $761.00 / $3,539.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,975.34 / $3,758.72 / $5,911.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.00 / $5,076.00 / $10,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,595.07 / $3,280.67 / $5,849.93