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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
$18.77 / $18.77 / $31.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.65 / $159.27 / $170.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.22 / $112.22 / $159.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.66 / $156.84 / $207.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.66 / $176.81 / $367.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.71 / $196.11 / $334.99