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Indiana rates for HCPCS 58200

Tot Abd Hyst W/Paraortic & Pelvic Lymph Node Sam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.75 / $2,059.15 / $17,225.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,085.00 / $16,165.29 / $28,794.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,242.80 / $1,583.96 / $1,827.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,242.00 / $10,843.00