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Indiana rates for HCPCS 58615

Occlusion Flp Tube Dev Vag/Suprapubic Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.72 / $1,123.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.78 / $249.72 / $297.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.00 / $5,790.87 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.80 / $346.07 / $477.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.57 / $296.41 / $342.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.01 / $273.61 / $342.02
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
$261.61 / $348.38 / $547.11
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
$233.54 / $285.79 / $461.98