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Indiana rates for HCPCS 81504

Oncology Tissue Of Origin Similar Scor Algorithm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.40 / $598.00 / $1,820.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.80 / $426.40 / $494.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.80 / $465.40 / $1,560.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.28 / $13.28 / $176.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.00 / $676.00 / $728.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.00 / $624.00 / $780.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.00 / $520.00 / $1,158.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.53 / $467.92 / $754.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.40 / $312.00 / $571.48