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Indiana rates for HCPCS 58542

Laps Supracrv Hysterect 250 Gm/< Rmvl Tube/Ovar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$817.57 / $9,830.15 / $24,064.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,575.00 / $24,214.00 / $45,778.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.16 / $972.66 / $1,122.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,561.47 / $6,561.47 / $6,561.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,051.00 / $11,452.00 / $17,416.00