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Indiana rates for HCPCS 68850

Injection of contrast medium for dacryocystography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.61 / $124.93 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.11 / $57.82 / $72.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.37 / $76.37 / $147.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.60 / $74.06 / $105.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.04 / $65.94 / $98.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.76 / $65.95 / $94.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.37 / $86.37 / $86.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.02 / $70.29 / $527.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,174.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.61 / $66.95 / $123.00