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Indiana rates for HCPCS 78201

Liver imaging; static only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.62 / $28.18 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $169.82 / $302.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $128.82 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $199.53 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $194.98 / $323.59