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Indiana rates for HCPCS 58555

Hysteroscopy Diagnostic Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.76 / $512.66 / $9,286.84
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$29.55 / $64.59 / $74.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.76 / $245.19 / $425.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.05 / $276.05 / $276.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,682.00 / $3,905.00 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.83 / $269.45 / $418.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.07 / $177.24 / $442.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.35 / $364.02 / $464.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,243.79 / $2,243.79 / $2,243.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.53 / $292.98 / $582.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,094.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.40 / $316.11 / $541.79