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Indiana rates for HCPCS 58262

Vag Hyst 250 Gm/< W/Rmvl Tube&/Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,014.04 / $6,705.22 / $16,042.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,310.00 / $10,288.00 / $26,304.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.57 / $1,086.60 / $1,253.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,982.66 / $2,982.66 / $2,982.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,025.00 / $11,038.00