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Indiana rates for HCPCS 65880

Severing Ads Ant Seg Incal Spx Corneovitreal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.23 / $2,318.00 / $14,063.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,719.00 / $8,512.00 / $16,307.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.05 / $804.68 / $1,217.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.00 / $739.67 / $2,806.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,399.00 / $5,995.00 / $10,413.00