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Indiana rates for HCPCS 86653

Antibody Encephalitis St. Louis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.82 / $15.17 / $48.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.42 / $10.82 / $12.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.42 / $12.56 / $39.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $6.51 / $9.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.19 / $15.90 / $17.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.19 / $15.17 / $18.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.65 / $13.19 / $34.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.68 / $15.28 / $30.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.54 / $8.06 / $12.36