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Indiana rates for HCPCS 67025

Inj Substitute Pars Plana/Limbl W/Wo Aspir Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.28 / $962.54 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.28 / $692.94 / $879.05
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
$544.36 / $727.63 / $980.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.54 / $762.48 / $1,322.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.80 / $829.75 / $1,194.83
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
$578.09 / $752.37 / $1,235.41
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
$596.84 / $776.90 / $1,459.61