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Indiana rates for HCPCS 67229

Extensive Retinopathy 1/> Sess Preterm Infant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.39 / $2,318.00 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.39 / $1,147.68 / $1,386.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.00 / $4,320.00 / $8,230.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.67 / $1,185.83 / $1,597.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,043.73 / $1,397.30 / $2,113.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.73 / $1,304.66 / $1,878.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $394.71 / $1,282.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.58 / $1,190.00 / $1,851.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.00 / $2,854.00 / $4,296.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.02 / $1,255.70 / $2,378.30