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Indiana rates for HCPCS 58240

Pel Exntj Gynecologic Mal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.00 / $3,248.42 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,550.17 / $2,867.74 / $3,413.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,091.00 / $15,450.00 / $23,392.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,357.76 / $2,947.21 / $4,160.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,693.81 / $3,433.29 / $3,961.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,640.99 / $3,037.14 / $3,961.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,478.98 / $3,334.42 / $5,937.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,242.00 / $10,843.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,448.01 / $3,169.19 / $5,135.95