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Indiana rates for HCPCS 64625

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.30 / $710.17 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.52 / $363.36 / $492.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.00 / $5,790.87 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.52 / $184.40 / $254.47
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$221.28 / $276.60 / $381.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.85 / $233.81 / $269.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.22 / $525.28 / $630.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,239.56 / $1,239.56 / $1,239.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.72 / $488.74 / $803.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,032.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.78 / $593.91 / $949.83