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Indiana rates for HCPCS 84255

Assay Of Selenium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.53 / $51.06 / $184.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.17 / $22.24 / $23.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.17 / $23.31 / $76.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.08 / $12.61 / $18.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.53 / $30.64 / $34.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.53 / $29.36 / $36.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.68 / $25.53 / $66.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.80 / $29.32 / $60.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $15.61 / $23.93