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Indiana rates for HCPCS 61864

Strtctc Impltj Nstim Eltrd W/O Record Ea Array

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.81 / $636.87 / $4,846.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,278.00 / $5,484.93 / $8,240.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.50 / $311.62 / $359.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,242.00 / $10,843.00