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Indiana rates for HCPCS 76831

Saline infusion sonohysterography (SIS), including color flow Doppler, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$32.03 / $32.03 / $54.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.62 / $113.59 / $206.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.14 / $98.29 / $154.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.00 / $107.30 / $161.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.95 / $81.98 / $129.91
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.29 / $39.29 / $39.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.01 / $132.80 / $237.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.01 / $121.26 / $198.40