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Indiana rates for HCPCS 61702

Simple Intracranial Arysm Vertebrobasilar Crcj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.00 / $3,552.54 / $5,825.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,530.00 / $3,552.54 / $4,440.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,881.00 / $23,381.41 / $33,555.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,426.72 / $4,283.39 / $5,911.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,515.85 / $4,480.97 / $5,170.37
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,446.91 / $4,136.29 / $5,170.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,582.63 / $4,915.07 / $8,156.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,242.00 / $10,843.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,478.46 / $4,361.14 / $7,348.51