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Indiana rates for HCPCS 84275

Sialic acid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $20.89 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.96 / $15.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $13.49 / $40.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $8.13 / $13.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $9.12 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $13.49 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $9.55 / $29.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $13.49 / $13.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $8.71 / $14.79