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Indiana rates for HCPCS 69740

Sutr Nrv Itprl W/Wo Grf/Dcmprn Lat Geniculate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.83 / $2,453.00 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.06 / $1,061.83 / $1,477.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,719.00 / $10,700.00 / $17,513.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.24 / $1,357.80 / $1,873.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.56 / $1,567.85 / $2,351.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.49 / $1,358.80 / $1,881.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,909.74 / $3,909.74 / $3,909.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.60 / $1,437.41 / $2,482.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,699.00 / $10,000.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,089.57 / $1,298.77 / $2,289.35