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Indiana rates for HCPCS 76873

Us Transrct Prstate Vol Brachytx Plnning Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.61 / $70.61 / $119.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.63 / $164.73 / $232.34
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.95 / $71.73 / $114.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.79 / $165.60 / $256.68
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.90 / $76.09 / $117.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.45 / $106.35 / $199.00
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.87 / $86.87 / $86.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.15 / $206.31 / $347.69
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.51 / $97.42 / $161.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.57 / $176.86 / $305.86
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.50 / $80.91 / $136.06