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Indiana rates for HCPCS 55870

Electroejaculation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.71 / $337.08 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.71 / $168.05 / $196.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $4,320.00 / $8,230.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.46 / $151.43 / $204.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.24 / $109.24 / $109.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.87 / $197.34 / $358.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.00 / $2,854.00 / $4,271.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.62 / $207.12 / $347.79