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Indiana rates for HCPCS 80155

Caffeine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.63 / $44.36 / $142.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.28 / $31.63 / $36.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.47 / $34.52 / $115.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.72 / $10.40 / $22.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.57 / $46.28 / $52.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.57 / $44.36 / $54.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.07 / $38.57 / $89.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $34.86 / $55.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.55 / $16.20 / $34.71