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Indiana rates for HCPCS 65865

Severing Ads Ant Seg Incal Tq Spx Goniosynechiae

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.49 / $1,773.00 / $5,634.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,682.00 / $3,840.00 / $7,747.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.81 / $576.75 / $872.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.00 / $422.00 / $1,627.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,399.00 / $5,995.00 / $10,413.00