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Indiana rates for HCPCS 66175

Trluml Dilat Aqueous O/F Can W/Retention Dev/St

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.71 / $1,854.00 / $16,042.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,310.00 / $10,288.00 / $26,304.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.34 / $1,275.30 / $1,520.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $803.80 / $5,700.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,529.00 / $9,550.00 / $15,750.00