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Indiana rates for HCPCS 85290

Clotting; factor XIII (fibrin stabilizing)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $24.55 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $19.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.22 / $48.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $8.13 / $16.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $11.22 / $20.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $16.22 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $11.48 / $35.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $16.22 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $9.77 / $17.78