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Indiana rates for HCPCS 67113

Rpr Complex Retina Detach Vitrect &Membrane Peel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,239.41 / $4,846.00 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.41 / $1,465.28 / $2,462.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,198.33 / $1,557.83 / $1,797.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,310.00 / $10,288.00 / $26,304.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.56 / $1,557.82 / $2,213.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,198.33 / $1,604.27 / $2,426.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,198.33 / $1,497.91 / $2,157.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $1,473.31 / $3,522.42
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$146.63 / $146.63 / $146.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.76 / $1,652.00 / $2,695.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,529.00 / $9,550.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.39 / $1,570.89 / $2,736.58