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Indiana rates for HCPCS 58976

Gamete, zygote, or embryo intrafallopian transfer, any method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.20 / $284.45 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.87 / $233.47 / $284.45
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
$239.65 / $299.57 / $460.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.55 / $218.55 / $218.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.48 / $294.63 / $540.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $2,291.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.71 / $281.64 / $462.06