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Indiana rates for HCPCS 67145

Proph Retinal Dtchmnt W/O Drg Photocoagulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.47 / $582.04 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.47 / $267.91 / $719.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$2,783.12 / $2,783.12 / $2,783.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.02 / $218.88 / $339.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $4,320.00 / $8,230.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.40 / $446.93 / $643.97
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$573.61 / $670.40 / $965.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.02 / $253.53 / $380.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.88 / $251.71 / $328.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.67 / $354.05 / $450.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.20 / $466.58 / $789.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.00 / $2,811.00 / $4,271.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.60 / $540.19 / $1,025.13