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Indiana rates for HCPCS 65130

Insj Oc Implt Sec After Evsc Scll Shell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$802.70 / $2,318.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.70 / $845.66 / $1,083.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,309.00 / $6,474.00 / $13,810.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.62 / $591.32 / $816.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.31 / $1,021.88 / $1,545.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.31 / $954.14 / $1,373.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $646.00 / $2,126.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.83 / $862.40 / $1,366.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,029.00 / $7,818.00 / $11,038.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.07 / $847.69 / $1,396.66