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Indiana rates for HCPCS 61703

Icra Crv Appl Occluding Clamp Crv Crtd Art

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,214.92 / $1,419.17 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.64 / $1,214.92 / $1,518.65
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
$1,231.04 / $1,538.80 / $2,123.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.33 / $1,540.05 / $1,776.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,184.65 / $1,421.58 / $1,776.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,299.90 / $1,737.34 / $2,747.78
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
$1,202.20 / $1,600.27 / $2,478.77