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Indiana rates for HCPCS 84150

Prostaglandin, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.25 / $41.77 / $154.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.25 / $30.42 / $35.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.00 / $37.59 / $125.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.13 / $16.71 / $32.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.77 / $50.12 / $56.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.77 / $48.04 / $59.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.15 / $41.77 / $97.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.43 / $47.91 / $65.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.77 / $41.77 / $41.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.73 / $21.87 / $37.59