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Indiana rates for HCPCS 52250

Cystourethroscopy Insj Radioact Sbst W/Wobx/Fulg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.35 / $1,386.00 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.35 / $236.16 / $312.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,536.00 / $7,833.00 / $16,615.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.52 / $331.60 / $457.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.05 / $280.45 / $323.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.74 / $258.89 / $323.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,218.40 / $2,218.40 / $2,218.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.18 / $325.64 / $512.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,890.46 / $5,174.00 / $9,243.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.59 / $287.72 / $653.16