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Indiana rates for HCPCS 72255

Myelography Thoracic Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.06 / $162.97 / $2,291.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.16 / $108.06 / $137.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.39 / $207.25 / $405.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.80 / $190.39 / $270.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.88 / $73.48 / $133.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.90 / $64.86 / $130.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.46 / $142.35 / $2,785.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.52 / $198.24 / $336.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.86 / $134.40 / $235.80