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Indiana rates for HCPCS 74290

Cholecystography Oral Contrst

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.15 / $126.65 / $525.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.11 / $78.15 / $98.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.15 / $50.30 / $321.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.97 / $50.30 / $74.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.09 / $74.94 / $104.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.13 / $72.84 / $101.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.98 / $153.29 / $1,032.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.55 / $75.14 / $138.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.89 / $393.89 / $393.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.56 / $79.20 / $140.34