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Indiana rates for HCPCS 45121

Prctect Compl W/Stot/Tot Colct W/Mlt Bxs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,668.78 / $1,845.86 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,583.48 / $1,753.42 / $2,352.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,600.00 / $8,980.45 / $14,278.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,538.22 / $1,971.70 / $2,720.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,538.22 / $1,999.69 / $2,307.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,538.22 / $1,845.86 / $2,307.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $761.00 / $1,988.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,652.87 / $2,096.56 / $3,412.59
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
$1,523.48 / $1,890.59 / $3,204.19