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Indiana rates for HCPCS 58563

Hysteroscopy Endometrial Ablation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.33 / $5,196.88 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.28 / $430.88 / $2,408.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.24 / $200.49 / $1,602.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,838.00 / $10,700.00 / $28,091.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.95 / $520.00 / $4,092.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.32 / $286.42 / $341.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,761.30 / $2,025.50 / $2,641.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,982.66 / $2,982.66 / $2,982.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.89 / $991.29 / $3,587.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,025.00 / $11,038.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,542.38 / $2,147.42 / $3,383.39