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Indiana rates for HCPCS 75803

Lymphangiography Extremity Only Bilateral Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.86 / $3,231.36 / $4,582.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.30 / $1,314.86 / $1,645.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.51 / $256.43 / $460.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.99 / $238.51 / $384.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.74 / $212.96 / $310.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.67 / $204.44 / $299.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.23 / $521.39 / $2,502.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.04 / $310.80 / $471.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.92 / $1,405.86 / $2,705.28