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Indiana rates for HCPCS 73564

Radiologic Exam Knee Complete 4/More Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.27 / $11.71 / $17.34
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$31.57 / $109.09 / $343.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.44 / $43.79 / $96.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.77 / $10.75 / $26.84
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$41.20 / $128.19 / $176.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$17.60 / $21.16 / $26.40
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.87 / $33.09 / $68.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.10 / $37.08 / $68.19
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.19 / $11.49 / $15.39
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$51.15 / $76.72 / $102.29
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.46 / $48.56 / $49.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.22 / $48.17 / $73.55
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.28 / $14.60 / $20.60
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$51.33 / $72.25 / $110.33
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.69 / $32.00 / $53.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.77 / $37.45 / $55.41
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.66 / $12.66 / $12.66
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$40.63 / $40.63 / $40.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.54 / $50.84 / $94.38
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.17 / $14.28 / $23.47
Cigna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$53.72 / $53.72 / $61.21
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.74 / $34.49 / $71.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.49 / $43.51 / $75.45
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.24 / $12.99 / $20.60
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.03 / $32.68 / $57.62