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Indiana rates for HCPCS 66250

Revj/Rpr Oprative Wound Anterior Segment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.34 / $1,386.00 / $11,311.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.34 / $699.76 / $833.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $5,126.00 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.07 / $535.09 / $722.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.68 / $672.96 / $1,168.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.10 / $836.38 / $1,204.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.00 / $565.00 / $1,375.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.66 / $725.68 / $1,193.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,399.00 / $5,995.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.61 / $807.56 / $1,379.55