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Indiana rates for HCPCS 67015

Aspiration/Release Vitreous Subretinal/Choroidal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.08 / $1,773.00 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.22 / $597.88 / $694.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,682.00 / $3,840.00 / $7,747.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.54 / $679.10 / $914.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.34 / $727.40 / $1,100.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.34 / $679.18 / $978.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.00 / $422.00 / $1,627.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.49 / $676.00 / $1,046.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,444.00 / $4,894.00 / $9,243.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.39 / $654.17 / $1,073.63