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Indiana rates for HCPCS 61650

Evasc Intracranial Prolng Admn Rx Agent Art 1st

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.61 / $1,386.00 / $4,846.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,446.00 / $18,496.73 / $25,750.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.57 / $655.82 / $756.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,242.00 / $12,027.00