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Indiana rates for HCPCS 74355

Percutaneous Placement Enteroclysis Tube Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.05 / $118.05 / $118.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.43 / $121.59 / $152.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.15 / $142.46 / $270.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.13 / $140.15 / $199.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.27 / $110.45 / $165.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.65 / $100.75 / $154.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.80 / $148.80 / $148.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.31 / $167.88 / $249.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.81 / $145.15 / $222.00