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Indiana rates for HCPCS 58974

Embryo transfer, intrauterine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.72 / $2,318.00 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.53 / $141.72 / $168.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,682.00 / $3,677.00 / $5,445.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.40 / $253.00 / $349.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,483.02 / $16,598.66 / $23,398.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.09 / $626.09 / $626.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.10 / $190.85 / $356.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.00 / $3,267.00 / $4,480.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.86 / $162.96 / $275.93