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Indiana rates for HCPCS 75805

Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,614.69 / $6,578.17 / $9,120.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.39 / $2,614.69 / $3,269.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.71 / $256.43 / $416.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.13 / $215.71 / $352.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.94 / $227.74 / $321.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $208.76 / $338.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.90 / $574.70 / $4,015.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.91 / $318.35 / $477.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,637.81 / $2,637.81 / $2,730.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.20 / $1,435.36 / $2,732.56