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Indiana rates for HCPCS 67101

Rpr Retinal Dtchmnt Drg Subretinal Fluid Crtx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.27 / $329.38 / $683.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.41 / $273.43 / $582.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.32 / $361.58 / $542.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.22 / $633.61 / $1,072.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.18 / $498.15 / $892.06