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Indiana rates for HCPCS 66225

Repair Scleral Staphyloma W/Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.18 / $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
$844.58 / $1,130.69 / $1,710.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.00 / $798.00 / $3,522.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,399.00 / $5,995.00 / $10,413.00